论文部分内容阅读
患者女,25岁,瑞安人,已婚,住院号89698。因停经36天,剧烈腹痛十余小时伴晕厥,于1990年5月19日11点20分急诊入本院内科。患者在入院前十小时突感下腹部剧烈疼痛伴恶心、呕吐及大便感,接着出现头晕、眼花、面色苍白。经妇科会诊,拟诊为急性宫外孕而收入妇科治疗。 入院查体:T36.5℃ P120次/分 R21次/分 BP86/46mmHg,神志清,痛苦表情,贫血貌。被动体位、心肺听诊无殊,下腹稍膨隆,压痛及反跳痛,叩诊移浊音阳性,右
Female patient, 25 years old, Ryan, married, hospital number 89698. Due to menopause 36 days, severe abdominal pain more than 10 hours with syncope, at 19:20 on May 19, 1990 emergency admission to our hospital. Ten hours before admission, the patient had sudden sensations in his lower abdomen with severe pain accompanied by nausea, vomiting and stool feeling, followed by dizziness, vertigo, paleness. The gynecological consultation, proposed diagnosis of acute ectopic pregnancy and income gynecological treatment. Admission examination: T36.5 ℃ P120 times / min R21 times / min BP86 / 46mmHg, clear mind, painful expression, anemia appearance. Passive body position, cardiopulmonary auscultation without special, lower abdomen slightly bulging, tenderness and rebound tenderness, percussion shift dullness sound positive, right