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患者26岁,住院号0072,该患以停经近4个月,右下腹剧痛1天于81年1月20日入院。平素月经规律,停经后有间断小量阴道流血4次,未经治疗自愈。入院前1天无诱因突然右下腹剧疼并伴少量阴道流血,疼痛时伴有恶心,呕吐,但无发冷发烧,无晕厥,大小便正常。检查:T37.2℃,Bp100/70mmHg。宫底脐耻之间,子宫大小与孕月基本相符,可及胎体,胎位查不清,胎心156次/分,右下腹可扪及鸭卵大肿物与子宫相连,质软,活动差,肿物压疼明显。内诊:阴道有少量陈旧血,宫口闭,宫体孕4个月大,右宫旁可
Patient 26 years old, hospital number 0072, the affected menopause nearly 4 months, right lower quadrant pain 1 day in January 20, 81 admission. Normal menstrual regularity, a small amount of intermittent vaginal bleeding after menopause 4 times, without treatment, self-healing. One day before admission, there was no incentive for a sudden right lower quadrant pain and a small amount of vaginal bleeding, pain accompanied by nausea and vomiting, but no fever, no syncope, normal urine. Check: T37.2 ℃, Bp100 / 70mmHg. Umbilical umbilical shame between the uterus consistent with the size of the month of pregnancy, and the carcass, fetal position check unclear, fetal heart rate 156 times / min, palpable right lower quadrant and duodenal large tumor connected with the uterus, soft, activity Poor, obvious pain relief. Internal consultation: a small amount of obsolete vaginal blood, cervix closed, 4 months pregnant Palace, next to the right temple can be