论文部分内容阅读
1 病例报告 患者41岁,已婚,孕2产2,农民。既往身体健康,无特殊病史及家族病史,月经正常,无痛经。于1978年生育一女婴,1980年生育一男婴,产褥期经过顺利。1981年放置环形22号宫内节育器至今。1998年5月6日弯腰搬重物时突然出现下腹剧痛,伴恶心,未吐,有肛门坠胀感。遂卧床休息,自服去痛片剂量不详,腹痛20分钟缓解,并自觉下腹有持续性隐痛,尚能忍受,未诊治。于下月月经来潮,出现月经不规律(20～60天)不等,经期延长7～10天,经量增多至每次用纸6包,痛经(+++)。于1999年12月5日来我院,门诊“左侧卵巢囊肿,轻度贫血”收入院。入院查体:一般状态良,自动体位,查体合作。体温37.0℃,脉搏90次/分,呼吸20次/分,血压16.0/10.0kPa。轻度贫血外貌,眼睑略苍白,口唇略苍白,心肺听诊未见异常。腹部平坦,下腹有轻压痛,无反跳痛
A case report was 41 years old, married, 2 pregnant and 2 farmers. Past health, no special history and family history, normal menstruation, no dysmenorrhea. A baby girl was born in 1978 and a baby boy was born in 1980, the puerperium went well. In 1981 placed ring 22 IUD so far. May 6, 1998 Bend to move suddenly heavy load when the next abdominal pain, with nausea, no spit, anal dang feeling. Then bed rest, self-service to painkiller dose unknown, abdominal pain relief for 20 minutes, and consciously have persistent lower abdomen pain, still able to endure, not diagnosed. Irregular menstruation (20 to 60 days), menstrual extension of 7 to 10 days, the volume increased to 6 packets per paper, dysmenorrhea (+++). In December 5, 1999 to our hospital, outpatient “left ovarian cyst, mild anemia” income hospital. Admission examination: general good condition, automatic position, physical examination. Body temperature 37.0 ℃, pulse 90 beats / min, breathing 20 beats / min, blood pressure 16.0 / 10.0kPa. Mild anemia appearance, slightly pale eyelids, slightly pale lips, cardiopulmonary auscultation no abnormalities. Flat belly, lower abdomen with mild tenderness, no rebound tenderness