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患者,女,36岁。因停经二月余,左下腹疼痛4天,加重1天,于97年1月30日入院,以往月经规律,末次月经96年11月11日,97年1月1日因停经49天,肌注黄体酮20mg×3,1月8日开始阴道少量出血,1月10日出血停止。患者于1月26日开始突发左下腹疼痛,呈持续性,伴肛门下坠感。29日腹痛加重,遍及全腹,伴头晕,乏力,心悸,当日晕厥5次,于当天夜间来我院,经急诊转妇科住院。患者既往十年前剖腹产,八年前因右侧输卵管异位妊娠行右输卵管切除术。
Patient, female, 36 years old. Due to menopause in February, the left lower quadrant pain for 4 days, aggravating 1 day, January 30, 1997 admission, the previous menstrual regularity, the last menstrual November 11, 1996, January 1, 1997 due to menopause 49 days, muscle Progesterone injection 20mg × 3, January 8 began a small amount of vaginal bleeding, bleeding stopped January 10. Patients began on January 26 sudden left lower quadrant pain, was persistent, accompanied by anal drop feeling. On the 29th abdominal pain aggravated throughout the abdomen, with dizziness, fatigue, palpitations, syncope 5 times the day at night to our hospital by the emergency department of gynecology hospitalization. The patient had a caesarean section ten years ago, and the right tubal resection eight years ago because of a right tubal ectopic pregnancy.