妇产科病例(国外英文资料).docVIP

妇产科病例 A miscarriage. The patient, female, 25 years old, married, has been menstruating regularly for 60 days A small amount of vaginal bleeding, no abdominal pain, pregnancy test (+), and vaginal flow after 1 week Increased blood, significantly more than menstruation, and small pieces of meat tissue from the vagina Out, the paroxysms of abdominal pain, dizziness and weakness. Body: body temperature of 37 ℃, pulse is 110 times/min, blood pressure is 80/50 MMHG, No pain in the abdomen, no touching the lump. Gynecological examination: there is a large amount of blood in the vagina, which can be seen in the mouth of the palace Haemorrhage, the palace body is 7 weeks pregnant big, soft, activity, no apparent tenderness, double attachment area Not exception. Please write down the complete diagnosis, diagnostic basis and treatment plan. Diagnosis: not all abortions Diagnostic basis: history + symptom + signs Treatment: immediately remove residual tissue from the chamber Two. Ectopic pregnancy Women, 30 years old, on May 4, 1999, were suddenly on the right The abdominal pain is two hours, with nausea, vomiting, and anus Feeling, go to a hospital in the city, diagnose is intestinal disease Disease, anti-inflammatoration, the symptoms progressive, the symptoms are increased Now the pulse rate is very fast, the four extremities are cold, the fainting one time, please the womens birth Consultations. The regular period is 3-4/28-30, and it is now 45 Day, a little bit of vaginal bleeding started a week ago, less than that Menstrual quantity. A good diet is a good thing. Continue without stomachache History, two years ago, pelvic inflammation. G2P1. T: 36.5 ℃, P: 108 times/min, Bp60/40 MMHG. The general condition is poor, the mind is indifferent, the face is pale, heart and lungs The hearing is unsound. The abdomen is flat, the right lower abdominal pain (+), Antijumping pain (plus or minus), no apparent muscle tension, mobility (+). Vulva: produced, vaginal, with a small amount