患者 ,2 7岁 ,孕 1产 1。因不规则阴道出血伴腹痛半月 ,加剧半天 ,于 2 0 0 4年 8月 2 2日 12∶3 0时急诊入院。既往月经规律 ,末次月经 2 0 0 4年 7月 2 3日 ,共 4天 ,量较平时减少三分之一 ,半月前出现少许阴道流血伴下腹隐痛 ,可自行缓解。 8月2 1日晚 10时出现腹痛加剧 ,伴 Patient, 27 years old, pregnant 1 produce 1. Due to irregular vaginal bleeding with abdominal pain for half a month, exacerbated for half a day, on August 2, 2004 at 12:30 0 emergency admission. Previous menstrual rule, the last menstrual July 20, 2004 2 days, a total of 4 days, the amount was reduced by one third than usual, a slight vaginal bleeding half months ago with abdominal pain, relieve itself. August 2 at 10 o’clock on the night of increased abdominal pain, accompanied