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1病例介绍患者,女,34岁,已婚,因“停经48天,阴道流血10余天,下腹痛半天”于2012-10-07急诊入院。既往史:2005年及2007年分别顺产1次,人流5次,药物流产1次。查体:体温:36.2℃,脉搏:88次/分,呼吸:25次/分,血压:92/64mmHg。右下腹压痛、反跳痛明显,下腹部及右下腹轻压痛,肝脾肋下未及,未扪及明显包块,移动性浊音阴性。患者10分钟后突发下腹痛加剧,即测血压88/50mmHg,精神萎靡,自觉头晕、乏力,急诊B
1 case description The patient, female, 34 years old, married, because of “menopause 48 days, vaginal bleeding for more than 10 days, abdominal pain half a day” in 2012-10-07 emergency admission. Past history: In 2005 and 2007 respectively 1 time, abortion 5 times, medical abortion 1 times. Physical examination: body temperature: 36.2 ℃, pulse: 88 beats / min, breathing: 25 beats / min, blood pressure: 92/64 mmHg. Right lower quadrant tenderness, rebound tenderness obvious lower abdomen and right lower quadrant tenderness, liver and spleen ribs not yet, palpable mass was not palpable, shifting dullness negative. Sudden abdominal pain after 10 minutes of patients aggravated, that is, blood pressure 88 / 50mmHg, apathetic, consciously dizzy, weakness, emergency B