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患者25岁,住院号7609,停经35天,下腹痛4天,于1991年12月30日急诊入院。月经史:30/4～5天,末次月经:1991年11月25日。体检:T36.7℃,P104次/分,R26次/分,BP11/8KPa,贫血貌,心肺正常,腹稍膨隆,压痛(+),反跳痛(±),移动性浊音(+).妇检:宫颈无着色,无举痛,摇摆痛(±),宫体前位,饱满,似有漂浮感,左侧似触及一约4×5×5cm大小包块,边界不清,触痛(+),右侧(-),腹腔穿刺抽出暗红色不凝血3ml,化验:Hb75克/L,RBC2.59×10~(12)/L,WBC8.4×10~9/L,N68％,出凝血时间及血小板计数均正常。拟诊:黄体破裂,宫外孕,行剖腹探查术。术中见子宫正常大
Patient 25 years old, hospital number 7609, menopause 35 days, abdominal pain for 4 days, on December 30, 1991 emergency admission. Menstrual history: 30/4 to 5 days, the last menstruation: November 25, 1991. Physical examination: T36.7 ℃, P104 beats / min, R26 beats / min, BP11 / 8KPa, anemic appearance, normal heart and lungs, slightly bulging abdomen, tenderness (+), rebound tenderness (+), shifting dullness (+). Gynecological examination: Cervical non-staining, no pain, swing pain (±), Palace anterior, full, seems to have a sense of floating, the left side may touch about 4 × 5 × 5cm size of the mass, the boundary is unclear, tenderness (+), Right (-), abdominal puncture out dark red blood clot 3ml, test: Hb75 g / L, RBC2.59 × 10 ~ (12) / L, WBC8.4 × 10 ~ 9/L, N68% , A clotting time and platelet count were normal. To be diagnosed: corpus luteum rupture, ectopic pregnancy, laparotomy exploration. Intraoperative normal uterus