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1 病例报告 患者26岁,因孕38~(-1)周,持续性腹痛伴阵发性加剧9小时,于2000年2月9日入院。患者G_2P_0,身体健康,人工流产1次。未次月经1999年5月22日,产前检查,B超检查无异常,EDC2000年2月29日。于2000年2月9日1Am出现腹痛,呈持续性伴阵发性加剧。自认为临产宫缩痛未引起重视,渐腹痛难忍于9Am来院。查体:T36.2℃,P80次/分,R21次/份,BP12/9kPa。急性痛苦病容,心肺正常,腹部膨隆,腹肌紧张,压痛反跳痛明显,宫底达剑突下,于宫底右侧触及一包块,与宫体相连、光滑、边界不清,触痛明显,叩诊有明显移动性浊音。胎位及胎心均不清,肠鸣音减弱。阴道通畅,宫
A case report of 26-year-old patient, 38 (-1) weeks of pregnancy, persistent abdominal pain with paroxysmal 9-hour exacerbation, in February 9, 2000 admission. Patients G_2P_0, good health, abortion 1 time. No menstruation May 22, 1999, prenatal examination, B-ultrasound no abnormalities, EDC February 29, 2000. On February 9, 2000 1Am abdominal pain, sustained with paroxysmal increase. Since that labor does not cause pain in the uterine contraction has not been taken seriously, abdominal pain unbearable to 9Am to hospital. Physical examination: T36.2 ℃, P80 beats / min, R21 beats / min, BP12 / 9kPa. Acute pain and sickness, normal heart and lungs, abdominal bulging, abdominal muscle tension, tenderness and rebound tenderness, under the palace of the xiphoid, touching the right side of the palace at the end of a mass, connected with the palace, smooth, borderless, tenderness Obviously, percussion obvious dullness of mobility. Fetal position and fetal heart are not clear, bowel sounds weakened. Vaginal patency, Palace