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例1:50岁。取环后持续下腹部疼痛7天入院。体查,体温37.5℃,脉搏84次,呼吸21次,血压12/9.3kPa下腹部压痛、反跳痛,移动性浊音阴性。妇科检查:阴道内有少量淡黄色分泌物,宫颈肥大,宫口为一质软组织阻塞,可活动.子宫后位,可移动,有触痛,右侧附件压痛明显。B超提示子宫多处穿孔。乃急诊剖腹,术中发现前壁有1.5×2.5cm陈旧性破裂口,乙状结肠一侧壁嵌在破口处,后壁靠子宫峡部稍上处有4个0.15cm圆形陈旧性穿孔.行肠侧壁嵌顿处复位,子宫全切术。
Example 1:50 years old. After taking the ring continued abdominal pain for 7 days admission. Physical examination, body temperature 37.5 ℃, pulse 84 times, breathing 21 times, blood pressure 12 / 9.3kPa abdominal tenderness, rebound tenderness, mobility dullness negative. Gynecological examination: a small amount of yellow vaginal secretions within the vagina, cervical hypertrophy, cervix as a soft tissue obstruction, activities can be post-uterine, mobile, tenderness, right attachment tenderness significantly. B-tips uterine perforation. Is an emergency cesarean section, intraoperative findings of the anterior wall of 1.5 × 2.5cm old rupture mouth, sigmoid colon wall embedded in the breach at the posterior wall of the uterus isthmus at the top there are four 0.15cm round old perforation. Side wall incarceration reset, hysterectomy.