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凡妇女宫腔内有金属环避孕而要求施行绝育者,一定要先取环后方施行双侧输卵管结扎术.本文报道未先取环,输卵管结扎后避孕环盆腔异位致肠梗阻1例.患者 32岁,生育1男1女,宫腔放置金属环避孕1年.次年由当地计划生育工作队集中施行双侧输卵管结扎绝育手术.术后两月来县医院取环,术中未探及宫腔内金属感,当即X线摄片定位,确定金属环异位盆腔,遂劝其住院开腹取环,患者坚决拒绝.4年后患者因腹部不适、恶心,数天后腹部绞痛,阵发性加剧入我院外科.腹腔有金属环一事早已忘记.入院检查:痛苦面容,血压11/7kPa,腹膨,肌紧张,压痛,反跳痛,以下腹部为甚.肠鸣音弱,腹腔穿
Where women have a metal ring intrauterine contraception and the need for sterilization, must take the first two-sided tubal ligation after the implementation of this article reported before the ring, tubal ligation of pelvic ectopic pregnancy induced contractile ileus 1 case patients 32 years , 1 male and 1 female fertility, intrauterine placement of metal ring contraception for 1 year.Followed by the local family planning team focused on the implementation of bilateral tubal ligation sterilization operation .Two months after the county hospital to take the ring, intraoperative exploration and intrauterine Metallic sense, immediately X-ray positioning to determine the metal ring ectopic pelvic, then advised to hospital open laparotomy, the patient resolutely refused .4 years after the patient due to abdominal discomfort, nausea, abdominal pain after a few days, paroxysmal Intensified into our hospital surgery. Abdominal cavity metal ring has long been forgotten. Admission examination: painful face, blood pressure 11 / 7kPa, abdominal distension, muscle tension, tenderness, rebound tenderness, the following abdomen is very weak bowel sounds, abdominal wear