患者25岁,因“停经40天,阴道流血伴下腹痛半个月”于1995年6月16日入院。该患平素月经规律,末次月经1995年5月5日。半个月前无诱因阴道流血,淋漓不断,伴有腹部阵痛,肛门下坠。在当地医院保守治疗3天,效果不明显,故来我院。查体:生命体征平稳。神清,无贫血貌。腹部移动性浊音不明显。妇科检查:阴道少量暗红色血液,宫颈举摆痛阳性,后穹窿触痛阳性,但不饱满。宫体常大,左附件可触及3cm×5cm球形包块, The patient was 25 years old and was hospitalized on June 16, 1995 for “40 days of menopause, vaginal bleeding with abdominal pain for half a month.” The usual rule of menstrual cramps, the last menstrual May 5, 1995. No incentive vaginal bleeding half a month ago, dripping, accompanied by abdominal pain, anal fall. Conservative treatment in the local hospital for 3 days, the effect is not obvious, it came to our hospital. Physical examination: vital signs stable. God clear, no anemia appearance. Abdominal mobility dullness is not obvious. Gynecological examination: a small amount of vaginal dark red blood, cervical lift pain, posterior fornix tenderness positive, but not full. Palace large, left attachment can reach 3cm × 5cm spherical mass,