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宫内节育器合并异位妊娠较少见,但随着使用节育器人数的增加,国内至1983年已有108例报道。我们共处理4例,报告如下。 例一,陈某,38岁。平时月经正常,末次月经1972年7月28日;8月26日乘汽车时突觉下腹痛部刀割样痛,心悸,出冷汗,随后昏厥入院。足月产2次,5年前行人工流产术后放环。 检查:体温36.8℃,脉搏104次/分,血压80/50mmHg。上腹平软,下腹轻度肌卫,压痛及反跳痛较明显。未叩出移动性浊音。肠呜音存在。阴道无血跡,后穹窿饱满,宫颈举痛明显。子宫附件扪诊不满意。后穹窿穿刺抽吸
IUD with ectopic pregnancy is rare, but with the increase in the number of IUDs, up to 1983, 108 cases have been reported in China. We deal with a total of 4 cases, the report is as follows. Example one, Chen, 38 years old. Normal menstruation normal, the last menstrual July 1972 July 28; August 26 by the car when the sudden sensation of abdominal pain Department knife-like pain, palpitations, a cold sweat, then fainted admission. Full-term 2 times, abortion 5 years ago after the release ring. Check: body temperature 36.8 ℃, pulse 104 beats / min, blood pressure 80 / 50mmHg. Soft upper abdomen, lower abdomen mild myopia, tenderness and rebound tenderness more obvious. Did not knock out mobility dullness. Bowel sounds exist. No blood in the vagina, after the fornix full, cervical pain was obvious. Uterine attachment palpation not satisfied. After the culdocentesis suction