论文部分内容阅读
人工流产术后并发宫颈粘连致经血逆流腹腔,被误诊为宫外孕者较为少见,现报告一例。病例孙×,25岁,住院号18626。缘于85天前行人工流产术,术后无特殊表现。于30小时前突然下腹呈持续性剧痛,且阵发性加重,伴少许阴道粉红色分泌物而来诊。既往月经周期30~90天,无痛经。五胎一产,近四年内相继行人工流产术四次,未避孕。查体:P 112,BP120/80。轻度贫血貌,心、肺无异常,肝、脾未触及,腹平软,有压痛,以下腹为著,无反跳痛及肌紧张,无移动性浊音,肠鸣音正常。妇科检查:阴道、宫颈着色,后穹窿饱满,触痛明显,宫颈举痛(+),宫体鸡卵大小,左侧附件区可触及
Induced abortion after cervical adhesions caused by retrograde intraperitoneal celiac, was misdiagnosed as ectopic pregnancy is relatively rare, is a report of a case. Case X, 25 years old, hospital number 18626. Due to 85 days before the abortion, postoperative no special performance. A sudden severe pain in the lower abdomen 30 hours ago and paroxysmal aggravation accompanied by a little vaginal pink discharge. Past menstrual cycle 30 to 90 days, no dysmenorrhea. Five births a month, within the past four years, abortion abortion four times, not contraception. Physical examination: P 112, BP120 / 80. Mild anemia appearance, heart, lung no abnormalities, liver, spleen not touched, abdominal soft, tenderness, with the lower abdomen, with no rebound tenderness and muscle tension, no movement dullness, bowel sounds normal. Gynecological examination: vagina, cervix, after the dome, full of tenderness, cervical pain (+), Palace egg size, the left attachment area can be touched