论文部分内容阅读
例1:何××,16岁。1985年10月22日来院。8天前无明显诱因出现左下腹部阵发性胀痛伴恶心,当地卫生所曾诊断为肠梗阻,给予灌肠未缓解,两天后症状加重,疼痛移至下腹正中,出现尿频、尿急、排尿痛及尿色发红。来我院门诊,行尿常规检查见红细胞10~15/400×,血白细胞总数13,000/立方毫米,分叶中性粒细胞80%,肌注庆大霉素4天后腹痛略缓解。门诊行膀胱镜检查,未见异常改变。盆腔B型超声波检查示子宫正常大,子宫外有-4.5×5.7厘米暗区,收入妇科住院。入院后检查:体温37.1℃,脉搏80次/分,血压90/60毫米汞柱。肛诊:子宫前倾、正常大,在子宫后上方触及一约鸭卵大囊性肿物,有明显压痛,在耻骨联合上3横指处触
Example 1: Ho × ×, 16 years old. October 22, 1985 to the hospital. 8 days ago, there was no obvious incentive to appear in the left lower abdomen paroxysmal nausea, nausea, local health clinics have been diagnosed as intestinal obstruction, giving enema did not ease, two days later symptoms worsened, the pain moved to the middle of the lower abdomen, frequent urination, urgency, dysuria And urine redness. To our hospital, urine routine examination of red blood cells 10 ~ 15/400 ×, total white blood cells 13,000 / cubic mm, leaf neutrophils 80%, intramuscular injection of 4 days after gentamicin slightly relieved. Out-patient line cystoscopy, no abnormal changes. B-mode ultrasound showed normal uterus, uterus -4.5 × 5.7 cm dark area, income gynecological hospitalization. After admission examination: body temperature 37.1 ℃, pulse 80 beats / min, blood pressure 90/60 mm Hg. Rectal examination: anteversion of the uterus, normal large, in the uterus at the top after touching a large cystic mass of duck eggs, there was significant tenderness, the pubic symphysis on the 3 cross-finger touch