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妊娠晚期腹腔内出血两例及文献复习

发布时间:2018-01-20 14:04

  本文关键词: 妊娠晚期 定期产前检查 低回声包块 平素月经规律 腹腔积液 卵巢囊肿蒂扭转 末次月经 病例摘要 后穹隆穿刺 下段  出处:《中国妇产科临床杂志》2015年02期  论文类型:期刊论文


【摘要】:正1.病例摘要病例1:患者23岁,主因"停经6个月余,突发间断性下腹痛7h"于2013-05-27入院。患者平素月经规律,末次月经2012-11-04,未定期产前检查。入院当日晨06:15突发下腹痛,呈阵发性,伴恶心、呕吐、头晕、乏力、心慌及肛门坠胀感,无晕厥,可自觉胎动,就诊于当地医院。B超提示左盆腔低回声包块,腹腔积液,血红蛋白(Hb)88g/L,以"卵巢囊肿蒂扭转"转入本院。既往体健,孕1产0。入院查体:体温36.9℃,脉搏90次/分,血压90/60mm Hg,贫血貌,宫底28cm,胎心60次/分,未及宫缩。腹软,子宫右侧下段压痛(+),反跳痛(±),子宫张力
[Abstract]:Case 1: case 1: patient 23 years old, the main cause of "menopause for more than 6 months, sudden intermittent lower abdominal pain for 7 hours" was admitted in 2013-05-27. The last menstruation 2012-11-04, no regular antenatal examination. At 06:15 on admission, sudden abdominal pain, paroxysmal, with nausea, vomiting, dizziness, fatigue, panic and anal distension, no syncope. The left pelvic hypoechoic mass, peritoneal effusion, hemoglobin HbTR 88 g / L were transferred to our hospital as "torsion of ovarian cyst pedicle". First trimester: body temperature 36.9 鈩,

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