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患者,女,32岁.主因:人流术后2个月,下腹部疼痛、恶心、呕吐12小时。患者于9月2日因孕2个月在公社医院行吸宫术,吸出物中可见绒毛组织,术后2个月未来月经,无恶心,呕吐、择食。于12月12日1点突然左下腹疼痛难忍,后穹窿穿刺抽出2ml 不凝固新鲜血,以宫外孕收入院。查体:BP95/60mmHg,痛苦面容,下腹部压痛反跳痛明显,以左下腹为著,叩诊移动性浊音阴性。妇科检查:经产型外阴,阴道畅,宫颈举痛,后穹窿触痛,子宫前位偏左大于正常压痛,左附件区饱满压痛著,右侧附件区压痛较轻。后穹窿穿刺抽出2ml
Patients, female, 32 years old. Main reason: 2 months after abortion, lower abdominal pain, nausea, vomiting for 12 hours. Patients on September 2 due to pregnancy 2 months in the commune hospital line aspiration, aspiration tissue visible villi, after 2 months of future menstruation, no nausea, vomiting, choice of food. At 1 o’clock on the December 12 sudden left lower quadrant pain unbearable, culdocentesis out 2ml does not coagulate new blood, to ectopic pregnancy income hospital. Examination: BP95 / 60mmHg, painful face, lower abdominal tenderness rebound pain was obvious to the left lower quadrant, percussion mobile voiced negative. Gynecological examination: the production of genital, vaginal Chang, cervical pain, after the dome tenderness, the uterus anterior left is greater than normal tenderness, left attachment area full tenderness, right attachment area tenderness lighter. After culdocentesis 2ml out