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患者女,32岁,停经34天,左下腹疼痛渐加剧19小时,伴恶心,眩晕及下坠感,无阴道流血,于1988年3月25日入院。月经史:15((3～6)/(28～37))1988年2月21日。一月前避孕环脱落,再未避孕。曾因患输卵管妊娠而切除左侧输卵管。查体:急性失血性病容,而色苍白,冷汗,极度疲惫状态,表情淡漠,呼吸急促。Bp100/70mmHg,P77次/分。腹肌紧张,广泛压痛及反跳痛,移动性浊音阳性,肠鸣音正常。化验检查:血红蛋白90克/L,红细胞3.26×10~(12)/L,白细胞15×10~9/L,中性球
Female, 32 years old, menopause for 34 days, left lower quadrant pain aggravating 19 hours, with nausea, dizziness and sense of falling, no vaginal bleeding, was admitted on March 25, 1988. Menstrual history: 15 ((3 ~ 6) / (28 ~ 37) February 21, 1988. I contraceptive ring off a month ago, then no contraception. Has suffered from tubal pregnancy and removal of the left fallopian tube. Physical examination: acute hemorrhagic disease tolerance, and pale, cold sweat, extreme fatigue, apathy, shortness of breath. Bp100 / 70mmHg, P77 times / min. Abdominal tension, a wide range of tenderness and rebound tenderness, mobility dullness positive bowel sounds normal. Laboratory tests: hemoglobin 90 g / L, red blood cells 3.26 × 10 ~ (12) / L, white blood cells 15 × 10 ~ 9 / L, neutral ball