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后穹窿是腹膜腔的最低间隙,腹腔内积液或积血,首先容易潴留于此。穹窿部位的粘膜,平滑肌等软组织薄,穿刺容易成功。因此,后穹窿穿刺术已成为婚后妇女急腹症的重要诊断手段之一。特别是,经腹腔穿刺失败者,行后穹窿穿刺则更有价值,现报告两例如下: 【例1】李×,25岁,已婚。因腹部剧痛4小时,于1990年8月23日入院。既往月经规则,末次月经1990年7月15～20日,8月20日开始少量阴道出血至入院未止。查体:体温37.4℃,呼吸20次/分,脉搏86次/分,血压14/10 kPa,呈急性失血面
Posterior fornix is the lowest clearance of the peritoneal cavity, intra-abdominal fluid or hemorrhage, first of all easy to stay here. Fornix part of the mucosa, smooth muscle and other soft tissue thin, puncture easy success. Therefore, posterior fornix has become an important diagnostic tool for married women with acute abdomen. In particular, the failure of abdominal paracentesis, posterior fornix puncture is more valuable, the report of two cases are as follows: [Example 1] Lee ×, 25 years old, married. Due to abdominal pain for 4 hours, admitted to hospital on August 23, 1990. Past menstrual rules, the last menstrual July 1990 15 to 20, August 20 began a small amount of vaginal bleeding admitted to hospital has not stopped. Physical examination: body temperature 37.4 ℃, breathing 20 beats / min, pulse 86 beats / min, blood pressure 14/10 kPa, acute blood loss surface