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患者,84岁经产妇女,因肠管从阴道脱出4小时于1977年1月22日入院。患者4年来从阴道突出一拳头大圆形肿物,未作过任何处理,于入院当天因咳嗽时,突然肠管从阴道内涌出,当时疼痛,有黄水流出,肠管脱出越来越多。体格检查:急性痛苦病容,神志清醒,血压150/90,脉博90次/分,有频发期前收缩。腹部不胀,无肠环及蛻动波,下腹部触痛,无移动性浊音,肠鸣音亢进。子宫三度脱垂,
Patient, 84-year-old woman who was admitted to hospital on January 22, 1977 due to bowel excretion from the vagina for 4 hours. Patient 4 years from the vagina prominent fist large circular tumor, without any treatment, due to cough on the day of admission, the sudden bowel discharge from the vagina, then pain, there is yellow outflow, bowel prolapse more and more. Physical examination: acute pain, sober, blood pressure 150/90, Pulse Bo 90 times / min, with frequent contraction before. Abdominal bulge, no intestinal ring and the slightest wave, the lower abdomen tenderness, no movement of dullness, bowel sounds hyperthyroidism. Uterine prolapse three times,