患者 2 5岁 ,住院号 0 542 91。因停经 3 4周 ,剧烈腹痛1h来院。停经 40d出现早孕反应 ,停经 4个月始自觉胎动 ,孕期顺利。来院当日无诱因自觉腹痛 ,呈持续性。 1h前腹痛加重伴恶心、呕吐 ,但无阴道流血、流液 ,无发热。查体 :T 3 6 5℃ ,P 12 0 /min ,BP 11/ 7kPa ,被动体位 , Patient 25 years old, hospital number 0 542 91. Due to menopause 3 4 weeks, severe abdominal pain 1h to hospital. 40d appeared early pregnancy reaction, menopause 4 months before conscious fetal movement, pregnancy goes well. On the day of admission, there was no incentive to consciously have abdominal pain and was persistent. 1h abdominal pain aggravated with nausea, vomiting, but no vaginal bleeding, fluid, no fever. Physical examination: T 3 65 ℃, P 12 0 / min, BP 11 / 7kPa, passive position,