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患者女性,26岁。停经5~+个月伴下腹疼痛10小时于1997年8月8日入院。平素月经规则,末次月经1997年3月6日,有痛经史,未婚,有性生活史。体检:T37.0℃,P138次/分,R22次/分,BP10.0/7.5kPa。一般情况差,表情淡漠,重度贫血貌,心率138次/分,律齐,无病理性杂音,两肺听诊正常,腹部膨隆,全腹压痛、反跳痛明显,移动性浊音(+),肠鸣音减弱。实验室检查:血红蛋白65g/L,白细胞12.2×10~9/L,中性粒细胞0.84。B型超声检查示左上腹腔内见胎儿头环,双顶径4.9cm,股骨长径2.3cm,胎心未见搏动,盆腔内见
Patient female, 26 years old. Menopause 5 to + months with abdominal pain 10 hours on August 8, 1997 admitted. Regular menstruation rules, the last menstrual March 6, 1997, a history of dysmenorrhea, unmarried, with a history of sexual life. Physical examination: T37.0 ℃, P138 times / min, R22 times / min, BP10.0 / 7.5kPa. Poor general condition, indifferent expression, severe anemia, heart rate 138 beats / min, law Qi, no pathological murmur, two auscultation normal, bulging abdomen, total abdominal tenderness, rebound tenderness obvious, The sound is weaker. Laboratory tests: hemoglobin 65g / L, white blood cells 12.2 × 10 ~ 9 / L, neutrophils 0.84. B-mode ultrasound showed the upper left abdominal cavity see the fetal head ring, biparietal diameter 4.9cm, femur length 2.3cm, no fetal heart rate beating, pelvic see