患者30岁,已婚,职员,住院号23318 因下腹痛伴有阴道点滴状流血20天而于1978年3月9日入院。以往月经规律,末次月经为1978年2月3日,于2月18日突然下腹呈撕裂样疼痛,并有便意,曾服解痛药效果不著,3月8日再次突发性腹痛,并出现晕厥逐来院就诊。 18 3～6/29～30量中等,无痛经;孕2产2,末次生产于5年前。检查:贫血面容,血压110/70毫米汞柱,体温37℃,心肺(-),下腹压痛及反跳 Patient 30 years old, married, employee, hospital number 23318 Admitted to hospital on March 9, 1978 due to abdominal pain associated with vaginal drip for 20 days. Past menstrual regularity, the last menstrual period February 3, 1978, on February 18 suddenly abdomen tear-like pain, and there is a conciliation, had served painkillers ineffective, again on March 8 sudden abdominal pain, And syncope came to the hospital. 18 3 ~ 6/29 ~ 30 moderate, no dysmenorrhea; 2 pregnant 2, the last production in 5 years ago. Check: anemia face, blood pressure 110/70 mm Hg, body temperature 37 ℃, cardiopulmonary (-), abdominal tenderness and rebound