宫外孕手术疑难病例讨论记录范文

宫外孕手术疑难病例讨论记录范文英文回答：
Patient: Female, 32 years old.
Chief complaint: Abdominal pain and vaginal bleeding.
History of present illness:
The patient presented to the emergency department with severe abdominal pain and vaginal bleeding. She reported a history of irregular menstrual cycles and had been trying to conceive for the past year. On examination, her vital signs were stable, but she had tenderness in the right lower abdomen.
Past medical history:
The patient had no significant past medical history.
Diagnostic workup:
Transvaginal ultrasound revealed a gestational sac in
the right fallopian tube, consistent with a diagnosis of ectopic pregnancy. Her beta-hCG levels were elevated.
Surgical management:
The patient was taken to the operating room for a laparoscopic salpingostomy. Intraoperatively, the fallopian tube was found to be severely dilated and at risk of rupture. The surgery was challenging due to extensive adhesions from a prior pelvic inflammatory disease. The procedure was successfully completed without complications.
Postoperative course:
The patient had an uneventful recovery and was discharged home on postoperative day 2. She was counseled
on the risk of future ectopic pregnancies and the
importance of early prenatal care in any future pregnancies.
英文回答：
病人，女性，32岁。

主诉，腹痛和阴道出血。

现病史：
患者出现严重腹痛和阴道出血，前往急诊科就诊。

她报告有月经周期不规律的病史，并且过去一年一直在尝试怀孕。

检查时，她的生命体征稳定，但右下腹有压痛。

既往病史：
患者没有明显的既往病史。

诊断工作：
经阴道超声显示右输卵管内有妊娠囊，符合宫外孕的诊断。

她的β-hCG水平升高。

手术治疗：
患者接受腹腔镜下输卵管切除术。

术中发现输卵管严重扩张，有破裂的危险。

由于先前患有盆腔炎导致广泛粘连，手术过程较为困难。

手术顺利完成，没有并发症。

术后情况：
患者术后恢复顺利，术后第2天出院。

医生对她进行了咨询，提醒她未来可能发生宫外孕的风险，并强调了未来任何怀孕都需要及早进行产前护理的重要性。