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患者40岁.因突然下腹部剧烈疼痛,伴头晕.恶心1h,于1992—10—14急诊入院。发病时出现一过性晕厥,摔倒.患者平素月经规律.末次月经1992—08—22,停经52天无早孕反应。入院检查体温35.8℃,脉搏110次/分,血压10/5kPa,神志清,表情淡漠,呈急性失血面容,眼结膜苍白,腹部稍膨隆,腹肌紧张,全腹压痛,以下腹部为甚,腹移动性浊音阳性。妇科查:阴道通畅无出血,后穹窿饱满,宫颈抬举痛阳性,子宫漂浮,两侧附件触诊不清.经后穹隆穿刺抽出暗红色不凝血,血常规化验:白细胞13.4×10~9/L,分叶0.81,淋巴0.19,血红蛋白108g/L,红细胞3.78×10~(12)/L,出凝血时正常.初诊:异位妊娠破
The patient was 40 years old due to sudden severe pain in the lower abdomen accompanied by dizziness nausea 1h admitted to the emergency department of 1992-10-14. Occurrence of transient syncope, fall .Patients usually menstrual regular menstruation 1992-08-22, menopause 52 days without early pregnancy response. Admission examination temperature 35.8 ℃, pulse 110 beats / min, blood pressure 10 / 5kPa, clear consciousness, expression of indifference, acute blood loss, pale conjunctiva, slightly bulging abdomen, abdominal tension, abdominal tenderness, the following abdomen is even more, abdominal Mobility positive. Gynecological examination: vaginal patency without bleeding, after the fornix full, cervix lifted pain positive, uterine floating, palpation on both sides is not clear .After the dome forcibly extracted dark red blood coagulation, blood tests: white blood cells 13.4 × 10 ~ 9 / L , Leaf 0.81, lymph 0.19, hemoglobin 108g / L, red blood cells 3.78 × 10 ~ (12) / L, the normal clotting.