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病史摘要患者28岁,农民,因停经2月余于1993年11月15日第3次入院。 1年多前(1992年3月7日)患者因在外地作人工流产(1991年7月)术后不规则阴道出血7月余,右下腹剧痛2天第一次入院。检查:腹部压痛、反跳痛,移动性浊音强阳性,有急腹血症,疑诊异位妊娠,绒癌而急诊行剖腹探查术。术中见腹腔游离血1700ml,血凝块300g,子宫7周孕大,双侧附件正
Summary of medical history Patient 28 years old, farmer, because of menopause in February more than the 3rd hospital on November 15, 1993 admission. More than one year ago (March 7, 1992). Patient was aborted due to field abortion (July 1991). He had irregular vaginal bleeding after more than 7 months. His right lower quadrant was painfully admitted for the first time in 2 days. Check: abdominal tenderness, rebound tenderness, mobility dullness strong positive, there is acute abdominal pain, suspected ectopic pregnancy, choriocarcinoma and emergency line laparotomy. Intraoperative see abdominal blood 1700ml, blood clots 300g, 7 weeks pregnant uterus, bilateral attachment is