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例1 因不规则阴道流血48天,下腹痛7天入院。末次月经1989月11月8日,3天干净。闭经30天始有阴道流血,量不多,淋漓不断,至1990年1月1日伴有下腹阵发性胀痛,1月24日疼痛加重,伴有肛门坠胀,欲解大便。1984年12月行人工流产加上环术,环型为不锈钢圆环。入院检查:血压、脉搏平稳,心肺正常。右下腹压痛(++),反跳痛(+),移动性浊音(-)。妇科检查:阴道内有少量血性分泌物,宫颈呈紫蓝色,举痛(+),宫口松,子宫大小基本正常。右侧附件区可扪及4cm×5cm×5cm大小包块,质软,触痛明显。左侧附件正常。B超检查:右侧附件区可见一4.8cm×4cm×5.3cm回声团,其内可见1.4cm×1.5cm无回声区,子宫大小正常,子宫颈内口处可见“一”字型强回
Example 1 due to irregular vaginal bleeding 48 days, 7 days of abdominal pain were admitted. The last menstruation 1989 November 8, 3 days clean. Amenorrhea for 30 days began to have vaginal bleeding, small amount, dripping constantly, until January 1, 1990 accompanied by lower abdomen paroxysmal tenderness, January 24 increased pain, accompanied by anus bulge, to resolve the stool. 1984 December abortion abortion plus ring technique, ring stainless steel ring. Admission examination: blood pressure, pulse steady, normal heart and lungs. Right lower quadrant tenderness (++), rebound tenderness (+), dullness of mobility (-). Gynecological examination: a small amount of bloody vaginal discharge, the cervix was purple blue, lift the pain (+), cervix loose, uterine size was normal. The right attachment area palpable size 4cm × 5cm × 5cm mass, soft, tenderness significantly. The left attachment is normal. B-ultrasound: the right attachment area can be seen a 4.8cm × 4cm × 5.3cm echo group, which can be seen inside the 1.4cm × 1.5cm anechoic area, the normal uterine size, the cervix can be seen at the mouth, “a” strong word back