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例1,张某,43岁,腰酸。下腹及肛门坠胀伴右下腹阵痛5小时,于1977年12月10订急诊入院。发病前无任何不适,发病无恶心呕吐,不发热。两便正常。一月前在外院行人流术,至今月经未来潮。生育史:G_(12)P_7。人流四次。体检:T.P.R.Bp均正常。呻吟不止,腹软,无压痛无反跳痛。妇检:外阴经产式,阴道通畅,无血迹。宫颈轻度糜烂,口闭,举痛明显,宫体前位,偏右如孕40天大小,质软,压痛,两侧附件正常,印象:宫颈粘连伴经血潴留,处理:在常规消毒下行宫腔探查术,宫腔9cm,抽出子宫探针后即有较多暗红色不凝血液涌出,用刮匙轻刮宫腔一周,术后给四环索口服,第2天腹痛好转,月经来潮。妇检盆腔正
Example 1, Zhang, 43 years old, backache. Lower abdomen and anal bulge with right lower quadrant pain for 5 hours, December 10, 1977 emergency room admission. Before the onset of any discomfort, the incidence of nausea and vomiting, no fever. Two will be normal. A month ago in the outpatient abortion, so far menstrual future wave. Fertility history: G_ (12) P_7. Flow four times. Physical examination: T.P.R.Bp are normal. Moaning more, belly soft, no tenderness without rebound pain. Fuseur: genitourinary production, vaginal patency, no blood. Cervical mild erosion, mouth closed, pain was obvious, the palace anterior, right side as pregnant 40 days size, soft, tender, both sides attachments normal, the impression: cervical adhesions with menstrual blood retention, treatment: Cavity exploration, the uterine cavity 9cm, after extraction of the uterine probe that is more dark red non-condensable blood effusion, with a curette curettage uterine cavity a week, postoperative tetracyclic cable oral administration, 2 days abdominal pain improved, menstrual cramps. Pregnancy pelvic positive