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病例患者,女,30岁,苏联籍,地质学家,未曾生育。因急性腹痛,曾昏倒,于1957年2月10日下午一时经急症入院。患者无任何不适,仅在半小时以前,在商店购物时,突感下腹部一侧(那一侧记不清)疼痛难忍,遂昏倒。由同伴送院。在急症室,刚由休克甦醒。自诉腹痛已减轻,无恶心,亦无呕吐。四年前曾有类似腹痛,但较轻。以后经常下腹疼痛,部位不能肯定。外科曾疑为“慢性阑尾炎”,但胃肠 X 线检查,“未见充份慢性阑尾炎征象”。月经:初潮13岁,周期规律3—4天/20~+天,经血量中等。自初潮经痛逐年加重,其中曾有数年缓解,近数年又复增重。末次正常月经1957年1月20日,前次月经1957年1月1日。
Case patient, female, 30 years old, Soviet Union, geologist, never gave birth. Due to acute abdominal pain, had collapsed, on February 10, 1957 at 1 pm by emergency admission. Patients without any discomfort, only half an hour ago, when shopping in the shop, the sudden side of the lower abdomen (side can not remember) pain, then collapsed. By the companion to hospital. In the emergency room, just wake up by shock. Prosecution abdominal pain has been reduced, no nausea, no vomiting. Four years ago had similar abdominal pain, but lighter. After abdominal pain often, the site can not be sure. Surgery has been suspected of “chronic appendicitis”, but gastrointestinal X-ray examination, “no signs of adequate chronic appendicitis.” Menstruation: menarche 13 years old, the cycle of law 3-4 days / 20 ~ + days, menstrual blood medium. Since menarche increased year by year, menstrual pain, of which there have been several years to ease, in recent years again weight gain. The last normal menstruation January 20, 1957, the last menstruation January 1, 1957.