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患者,28岁。入院前日下午2时弯腰时突感下腹部胀痛,逐渐加剧,向上延至全腹,自觉胎动消失。2小时后出现头昏、心悸、恶心 呕吐,即到当地医院就诊,因诊断不明转入我院。7年前及4年前分别在孕8月、孕7月时各早产一次,6年前孕5月自流一次,3年前及2年前分别人流一次。无产后流血及发热等病史。体查:血压9.1/5.2kPa,脉搏140次,呼吸20次,面色苍白,腹部膨隆较足月妊娠大,腹肌紧张,满腹压痛、反跳痛,移动性浊音
Patient, 28 years old. On the day before admission at 2 o’clock when the bend suddenly lower abdomen pain, and gradually increased, up to the full abdomen, conscious fetal movement disappeared. 2 hours after the dizziness, palpitations, nausea and vomiting, that is, to the local hospital for treatment, unknown diagnosis transferred to our hospital. 7 years ago and 4 years ago, respectively, in pregnancy August, premature pregnancy in July when a premature birth, 6 years ago pregnancy in May once, 3 years ago and 2 years ago, abortion. No history of postpartum bleeding and fever. Physical examination: blood pressure 9.1 / 5.2kPa, pulse 140 times, breathing 20 times, pale, abdominal bulging more than full-term pregnancy, abdominal muscle tension, full of tenderness, rebound tenderness, dull mobility