病人,23岁,未婚。因停经62d药流失败,阴道大出血1h于1999年3月20日入院。病人平时月经周期30d,经期7～8d,量多,有血块,无痛经史。末次月经1999年1月20日,停经后有早孕反应,无咳嗽、咯血,无阴道流血,自觉腹部长大迅速,伴腹胀,无胎动感。入院前4d在基层医院检查尿hCG后诊断早孕,予米非司酮(Ru486)进行药物流产(每次25mg,每天2次,共3d),第4天服米索片600μg后出现腹痛,阴道少量出血,观察6h无胚胎组织排出,再次服米索片600μg,腹痛加重,阴道出血不止,伴头昏、乏力,由基层医院转入我院。体检:T36.5℃,P100,R25,BP90/60mmHg。中度贫血貌,皮肤粘膜无瘀点瘀斑,心肺正常,肝脾均未扪及,子宫底平脐,子宫轮廓清楚。妇科检查:外阴已婚 Patient, 23 years old, unmarried. Due to the failure of medical abortion 62d medical abortion, vaginal bleeding 1h on March 20, 1999 admitted. The patient usually menstrual cycle 30d, menstrual 7 ~ 8d, quantity, blood clots, painless history. The last menstrual January 20, 1999, after menopause early pregnancy reaction, no cough, hemoptysis, no vaginal bleeding, consciously grow rapidly abdomen, with bloating, no fetal movement. Four days before admission, urinary hCG was examined in primary hospitals to diagnose early pregnancy, and medical abortion was given to mifepristone (Ru486) (25mg twice a day for 3 days). On the 4th day, 600μg of misoprostol was applied to abdominal pain and vagina A small amount of bleeding observed 6h no embryo discharge, again taking misoprostol 600μg, abdominal pain aggravated, vaginal bleeding more than with dizziness, fatigue, transferred from the primary hospital to our hospital. Physical examination: T36.5 ℃, P100, R25, BP90 / 60mmHg. Moderate appearance of anemia, skin and mucous membrane petechiae ecchymosis, normal heart and lung, liver and spleen are not palpable, uterine flat umbilical, uterine clear outline. Gynecological examination: vulva married