患者37岁,住院号32431,因孕36周腹痛1天,于1993年6月21日夜间急诊入院。病人平素月经规律,停经12周时开始腹部隐隐胀痛,停经16周出现胎动,胎动时腹痛加重,停经24周时曾于当地医院B超诊断“中期妊娠”。近1天,腹痛加剧,急诊来院。病人孕1产0,6年前曾患输卵管妊娠行右侧附件切除术,现无子女。查体:T36.5,P100次/分,R20次/分,Bp13/8kPa。心肺正常,腹部隆起孕足月大小,腹壁紧张,有明显压 37-year-old patient, hospital number 32431, abdominal pain due to 36 weeks pregnant one day, on June 21, 1993 night emergency admission. Patients usually menstrual regularity, menopause began appearing abdomen at 12 weeks of pain, stoping for 16 weeks of fetal movement, fetal movement increased abdominal pain, 24 weeks after menopause was diagnosed at the local hospital B-ultrasound “mid-term pregnancy.” Nearly 1 days, aggravating abdominal pain, emergency room. Patient pregnancy 1 0, 6 years ago had tubal pregnancy right attachment resection, there are no children. Physical examination: T36.5, P100 beats / min, R20 beats / min, Bp13 / 8kPa. Normal cardiopulmonary, abdominal fullness gestational size, abdominal wall tension, significant pressure