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原发性腹腔妊娠罕见,种植于肝脏者更为罕见,国内尚未见报道。我院1977年遇到一例,现报告如下: 王××,女,24岁,于1977年9月13日急诊入我院妇产科。患者是在入院前的当天中午被车把撞及右季肋部,当即觉下腹部剧痛,一小时后波及全腹。患者21岁结婚,平产二男,平素月经正常,此次发病前无停经史。检查:神志清,急性贫血貌;血压60/10mmHg,脉细弱;全腹略膨隆,压痛(+)、反跳痛(+)、肌紧张(+)、移动性浊音(+);阴道后穹窿饱满,宫颈举痛(+)、分泌物血性;腹穿抽出不凝固的血性液体。诊断为“宫外孕”,失血性休克。立即
Primary intrauterine pregnancy rare, more common in the liver are not yet reported. Our hospital encountered a case in 1977, the report is as follows now: Wang × ×, female, 24 years old, on September 13, 1977 emergency department into our hospital obstetrics and gynecology. The patient was hit by the handlebar and the right rib at noon on the day before admission. Immediately he felt a sharp pain in his lower abdomen and spread to the whole belly after an hour. 21-year-old patient was married, usually two men, usually normal menstruation, before the onset of non-stop-reading history. Check: Consciousness, acute anemia; blood pressure 60 / 10mmHg, weak pulse; the whole abdomen slightly bulging, tenderness (+), rebound tenderness (+), muscle tension (+), mobility dullness (+); vaginal posterior fornix Full, cervical pain (+), secretions of bloody; abdominal wear out of non-coagulation bloody fluid. Diagnosed as “ectopic pregnancy”, hemorrhagic shock. immediately