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患者,28岁。停经5月,腹疼17小时、伴晕厥7次于86年5月25日下午5时半急诊入院。患者于停经40多天即有择食、恶心等早孕反应。停经4月及4个半月曾去乡卫生院检查,未能确诊为妊娠。停经期未感到胎动。入院前17小时下腹阵发性坠疼,呈进行性加剧,约2小时后突感腹内撕裂样疼,继而腹疼缓介,不久即变为持续性全腹疼,以上腹部为甚。晕厥七次。生育史 G_4P~2,第一胎孕3月自然流产,第二胎孕7月早产,第三胎于三年前足月自娩。入
Patient, 28 years old. Menopause in May, abdominal pain 17 hours, with syncope 7 times on May 25, 86 at 5:30 in the emergency admission. Patients with menopause over 40 days that there is elective, nausea and other early pregnancy reaction. Menopause in April and 4 and a half months had to go to the township hospitals, failed to diagnose pregnancy. Menopause did not feel fetal movement. 17 hours before admission, the lower abdomen paroxysmal pain, was progressive increase in about 2 hours after the sensation of intra-abdominal tearing pain, then abdominal pain and ease, and soon became persistent full abdomen, the abdomen is even worse. Syncope seven times. Fertility history G_4P ~ 2, the first pregnancy in March natural abortion, the second pregnancy in July premature birth, the third child in full three years ago from childbirth. Into