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编辑同志: 八年来我所共遇异位妊娠6例。1974年9月前的5例,未用中西医结合处理异位妊娠,均转院手术治疗,病虽愈但均遗留继发不孕症。今又遇1例,29岁,停经3月,两周来间断少量阴道出血,伴腹部撕裂痛,10天来腹痛加剧,腹腔穿刺极易抽出不凝固血性液体,诊为“宫外孕”。入院体检:体温37.2℃(腋下),血压120/70毫米汞柱,脉搏84次/分,心肺无特殊,腹略膨隆,全腹压痛,反跳痛,右下腹轻度肌紧张,移动性浊音阳性。妇科检查:外阴经产型,阴道无血迹,宫颈轻度糜烂,宫口无血迹,后穹窿饱满感,宫颈明显举痛,子宫前位、略大,偏向左侧,右侧附件部位可摸到一鸭蛋大包块(7×5×4厘米),略活动,有触痛,后穹窿穿刺抽出不凝固血性液体。化验血红蛋白7.5克%,白细胞5100/毫米~3,尿妊娠试验(-),未做浓缩尿妊娠试验。印象为右侧附件
Editor comrades: I have encountered ectopic pregnancy in 6 cases for eight years. Before September 1974 in 5 cases, no treatment of ectopic pregnancy with Integrative Medicine, were transferred to surgery, although the disease is more but the secondary infertility were left. Now another case of 1 case, 29 years old, menopause in March, two weeks to interrupt a small amount of vaginal bleeding, with abdominal tearing pain, abdominal pain intensified in 10 days, abdominal puncture easily extracted non-coagulant fluid, diagnosed as “ectopic pregnancy.” Admission physical examination: body temperature 37.2 ℃ (armpit), blood pressure 120/70 mm Hg, pulse 84 beats / min, no special cardiopulmonary, bulging abdomen, abdominal tenderness, rebound tenderness, right lower quadrant mild muscular tension, mobility Voiced positive. Gynecological examination: vulvar by type, vaginal no blood, mild erosion of the cervix, no blood in the cervix, posterior fornix sense of fullness, cervical pain, pain, uterine anterior, slightly larger, biased to the left, right attachment parts can be touched A large piece of duck eggs (7 × 5 × 4 cm), a little activity, tenderness, culdocentesis out non-condensable bloody fluid. Laboratory hemoglobin 7.5 g%, white blood cells 5100 / mm ~ 3, urine pregnancy test (-), did not make concentrated urine pregnancy test. Impression for the right attachment