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患者29岁,住院号24567。孕2产1,停经12周,腹痛4天,于1989年1月2日入院。停经后有轻度早孕反应,50天时阴道有少许出血,应用黄体酮针剂20mg每日2次注射,3天后出血即停止,但常感胃部隐痛,当地按早孕反应对症治疗。入院前4天,上腹部正中出现撕裂样痛,30分钟后转为全腹持续性隐隐胀痛,后逐日加重来院治疗。查体:痛苦面容,贫血貌,T 35.5℃,P 112次/分,Bp9/6kPa。心肺正常,全腹有压痛、反跳痛,叩诊移动性浊音阳性,宫颈举痛明显,后穹窿饱满,子宫双侧附件
Patient 29 years old, hospital number 24567. Pregnancy 2 1, menopause 12 weeks, abdominal pain for 4 days, on January 2, 1989 admission. Postmenopausal mild early pregnancy reaction, vaginal bleeding 50 days a little bleeding, the application of progesterone injection 20mg 2 times a day, 3 days after the bleeding stopped, but often feel stomach pain, the local symptomatic treatment of early pregnancy response. 4 days before admission, the middle of the upper abdomen tearing like pain, after 30 minutes into the whole abdomen persistent faint pain, daily increase to hospital treatment. Physical examination: painful face, anemia, T 35.5 ℃, P 112 beats / min, Bp9 / 6kPa. Cardiopulmonary normal, the whole abdomen with tenderness, rebound tenderness, percussion mobile dullness positive, cervical pain was obvious, after the dome full, bilateral uterine attachment