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病人 C,46岁,1955年9月24日入院。月经始于18岁,每隔30日一次,历时3—4天,无痛。妊娠5次:2次正常分娩,2次人工流产,1次宫外孕——右侧输卵管截除。末次月经为1955年6月18日。9月13日出现阵发性下腹疼,9月17日体温升高到38℃而入院。入院时情况尚良好。脉搏每分钟86次,相当充实。血压120/50毫米汞柱。两肺及心脏无异常。腹部柔软。腹部触诊,右侧恥骨上有不活动的硬块。阴道检查发现宫颈外口关闭,无血性分泌物,宫体大小正常,稍偏左,子宫右侧下有7×6厘米大小硬块与子宫紧密相连,穹窿无异常。诊断:疑为宫外孕。后穹窿穿刺有
Patient C, 46 years old, admitted to hospital on September 24, 1955. Menstruation begins at 18 years old, once every 30 days, lasts 3-4 days, painless. Pregnancy 5 times: 2 times normal birth, 2 abortion, 1 ectopic pregnancy - right tubal truncation. The last menstruation was June 18, 1955. September 13 paroxysmal lower abdominal pain, September 17 temperature raised to 38 ℃ and admitted to hospital. The situation is good at admission. Pulse 86 times per minute, quite substantial. Blood pressure 120/50 mm Hg. No abnormalities in both lungs and heart. Abdomen soft. Palpation on the abdomen, with inactive lumps on the right pubis. Vaginal examination revealed that the cervix outside the mouth closed, no bloody discharge, normal body size, slightly left, under the right uterus 7 × 6 cm size lumps closely linked with the uterus, the dome was normal. Diagnosis: suspected ectopic pregnancy. Posterior fornix puncture there