患者张某,女,26岁,因腹痛2月余,加重13天,于87年3月31日入院。患者婚后2年未孕。以往月经规律,量较多。86年7月15日,停经40余天有早孕反应;4个月时有胎动感;5个月时下腹有隐痛感,但没引起注意。入院前18天无诱因突然下腹剧烈疼痛,伴恶心,呕吐,下腹不敢触而无阴道流血及流水。经当地B Patient Zhang, female, 26 years old, more than two days of abdominal pain, increased 13 days, March 31, 1987 admission. Patients 2 years after marriage is not pregnant. Previous menstrual rules, the amount of more. July 15, 86, menopause more than 40 days have an early pregnancy response; 4 months have fetal movement; 5 months when the lower abdomen has a sense of pain, but did not attract attention. 18 days before admission, no incentive sudden abdomen severe pain, with nausea, vomiting, lower abdomen can not touch without vaginal bleeding and running water. Via local B