女患,因“停经88天,不规则阴道流血1月,下腹痛13小时”入院。停经35天后自测尿HCG(+),并出现少量阴道流血,无下腹痛,未予治疗,持续4天后,阴道流血减少,并于当地医院B超检查提示:宫内早孕,稽留流产。随后出现下腹痛伴阴道流血,自服“左氧氟沙星、益母草”治疗,后阴道流血减少,持续一月后阴道流血消失。13小时前突发剧烈腹痛,呈持续性,改变体位后腹痛加剧。急诊行腹部B超提示:母体腹腔积液,中期妊娠,单胎, Women suffering from “menopause 88 days, irregular vaginal bleeding in January, abdominal pain 13 hours ” admission. 35 days after menopause self-test urine HCG (+), and a small amount of vaginal bleeding, no lower abdominal pain, no treatment for 4 days after the reduction of vaginal bleeding, and in the local hospital B-ultrasound tips: intrauterine pregnancy, missed abortion. Subsequent abdominal pain with vaginal bleeding, self-service “levofloxacin, Motherwort ” treatment, reduce vaginal bleeding, vaginal bleeding disappeared after a month. Sudden severe abdominal pain 13 hours ago, was persistent, increased abdominal pain after changing position. Emergency line abdominal B-Tip: maternal ascites, mid-term pregnancy, singleton,