妊娠晚期腹腔內(nèi)出血兩例及文獻(xiàn)復(fù)習(xí)
發(fā)布時間:2018-01-20 14:04
本文關(guān)鍵詞: 妊娠晚期 定期產(chǎn)前檢查 低回聲包塊 平素月經(jīng)規(guī)律 腹腔積液 卵巢囊腫蒂扭轉(zhuǎn) 末次月經(jīng) 病例摘要 后穹隆穿刺 下段 出處:《中國婦產(chǎn)科臨床雜志》2015年02期 論文類型:期刊論文
【摘要】:正1.病例摘要病例1:患者23歲,主因"停經(jīng)6個月余,突發(fā)間斷性下腹痛7h"于2013-05-27入院。患者平素月經(jīng)規(guī)律,末次月經(jīng)2012-11-04,未定期產(chǎn)前檢查。入院當(dāng)日晨06:15突發(fā)下腹痛,呈陣發(fā)性,伴惡心、嘔吐、頭暈、乏力、心慌及肛門墜脹感,無暈厥,可自覺胎動,就診于當(dāng)?shù)蒯t(yī)院。B超提示左盆腔低回聲包塊,腹腔積液,血紅蛋白(Hb)88g/L,以"卵巢囊腫蒂扭轉(zhuǎn)"轉(zhuǎn)入本院。既往體健,孕1產(chǎn)0。入院查體:體溫36.9℃,脈搏90次/分,血壓90/60mm Hg,貧血貌,宮底28cm,胎心60次/分,未及宮縮。腹軟,子宮右側(cè)下段壓痛(+),反跳痛(±),子宮張力
[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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