患者,女,27岁,住院号31996,1982年4月19日入院。孕1产0,末次月经1981年7月24日,预产期1982年5月1日,既往无腹痛史。十天前,突感右下腹疼痛,伴恶心呕吐,即来院门诊,无特殊阳性体征发现,经解痉消炎治疗后好转。入院前一天,又突然感右下腹持续性疼痛,且阵发性加剧,坐立及手按压后疼痛减轻,并伴恶心呕吐,吐出为胃内容物,无外伤史,不发热。查体:右下腹腹股沟上方 Patient, female, 27 years old, hospital number 31996, admitted to hospital on April 19, 1982. Pregnancy 1 0, the last menstrual July 24, 1981, the expected date of May 1, 1982, no previous history of abdominal pain. Ten days ago, sudden sensation of right lower quadrant pain, with nausea and vomiting, that is to the hospital, no special positive signs found after antispasmodic anti-inflammatory treatment improved. On the day before admission, he suddenly felt persistent pain in his right lower abdomen and increased his paroxysm. He was relieved of pain after sitting and hand pressing, accompanied by nausea and vomiting, and spit out the contents of the stomach without a history of trauma and no fever. Physical examination: the right lower quadrant groin above