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患者女性,40岁。1980年5月确诊肝癌,用抗癌药物治疗。1980年10月20日因搬动高凳子后突然剧烈腹痛,头昏眼花。急诊入院(马关县人民医院)。入院查:急病容、苍白、血压9/5kPa。心率125次/分,整齐、肺正常。腹部膨隆,肌紧张,压痛反跳痛明显,有移动性浊音。在积极抗休克的同时行硬麻下剖腹探查,见腹腔积血及血块约1800毫升,肝大表面有大小不等灰白色结节,右肝叶见约3×2.5厘米之结节破裂出血,吸净用明胶海棉填塞止血,并结扎肝固有动脉。但下腹有鲜血流出,故向下延长切口,发现左输卵管周围有凝血块及活动出血,细查见繖部破裂、破口约1.5×1cm~2,积血块内找见胚胎组织,行左输卵管切除
Female patient, 40 years old. May 1980 confirmed liver cancer, with anti-cancer drugs. October 20, 1980 after moving stool suddenly severe abdominal pain, dizziness. Emergency admission (Maguan County People’s Hospital). Admission check: acute disease capacity, pale, blood pressure 9 / 5kPa. Heart rate 125 beats / min, neat, normal lungs. Abdominal bulge, muscle tension, tenderness rebound pain obvious, there is mobility dullness. In the active anti-shock at the same time under the hard Ma laparotomy, see the hematocele and blood clots of about 1800 ml, the surface of the liver size ranging from gray nodules, the right lobe see about 3 × 2.5 cm of nodular rupture bleeding, sucking Net gelatin sponge padding to stop bleeding, and ligation of the hepatic artery. But the lower abdomen with blood outflow, so the downward extension of the incision, found around the left fallopian tube coagulation and active bleeding, fine see umbrella department rupture, break about 1.5 × 1cm ~ 2, see the embryo within the blood clots within the organization, line left oviduct resection