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早期妊娠子宫自发性破裂,文献上很少报道,我院20年来仅遇到一例,特报道如下: 周××,26岁,因停经2月余,不规则阴道流血半个月,腹剧痛19小时,伴昏厥3次于1979年8月2日急诊入院。曾生育3胎,幼孩15岁。于1969年11月作电灼绝育。1978年4月因怀孕45天施行人工流产。平素月经正常,体健。入院检查:面色苍白,血压120/70毫米汞柱,脉率132/分。心肺正常。腹部膨起,满腹压痛;叩诊有移动性浊音。腹腔穿刺抽得6毫升不凝血。血色素4.5克,白细胞1,440/立方毫米,中性90％,淋巴10％。拟诊宫外孕,立即剖腹术。
Early pregnant uterine spontaneous rupture, rarely reported in the literature, our hospital only met a case of 20 years, especially reported as follows: Zhou × ×, 26 years old, more than 2 months after menopause, irregular vaginal bleeding for half a month, abdominal pain 19 hours, with syncope 3 times on August 2, 1979 emergency admission. Have 3 children birth, 15-year-old baby. In November 1969 for electrocautery sterilization. 1978 April 45 days of pregnancy induced abortion. Normal menstruation normal, healthy. Admission examination: pale, blood pressure 120/70 mm Hg, pulse rate 132 / min. Cardiopulmonary normal. Abdominal swelling, full of tenderness; percussion mobile dullness. Abdominal puncture pumping 6 ml does not clot. 4.5 grams hemoglobin, 1,440 cells per cubic millimeter, 90% neutral, lymph 10%. To be diagnosed with ectopic pregnancy, immediate laparotomy.