患者21岁,已婚,因右下腹阵痛3d,加重半天伴恶心腹部下坠,于1992年7月17日以“异位妊娠破裂”?收住院。患者月经规律,末次月经于入院前半个月。于入院前3d出现右下腹阵痛,改换体位可自行缓解,入院当日晨阵痛加剧,并波及全腹,同时感下腹坠胀不适,心慌、恶心。查体:T36.3℃,P96次/min,R22次/min,BP12/9kPa。重病容,失血貌;心肺无异常;腹平坦,全腹压痛反跳痛伴轻度肌紧张,以右下腹著,移动浊音(+)。妇查:外阴阴道无异常,后穹窿饱满触痛,宫颈举痛(+),子宫及左侧附件正常,右附件区可触及5cm×4cm×3cm大之软性包块,活动,压痛明显。后 The patient was 21 years old and was married because of pain in the right lower abdomen for 3d, aggravating the nausea and abdomen falling for half a day. On July 17, 1992, he was admitted to the hospital for “ruptured ectopic pregnancy.” Patients with menstrual patterns, the last menstrual period in the first half of admission. Right lower quadrant pain occurred on the 3rd day before admission. The patient’s position was relieved. On the day of admission, morning pain increased and affected the entire abdomen. At the same time, he felt abdominal distension and discomfort, palpitation and nausea. Physical examination: T36.3 ℃, P96 times / min, R22 times / min, BP12 / 9kPa. Severe illness, loss of blood; no abnormal heart and lung; abdominal flat, abdominal tenderness and rebound tenderness with mild muscle tension, to the right lower abdomen, shifting dullness (+). Fetal examination: no vulva vaginal abnormalities, after the dome full of tenderness, cervical pain (+), uterus and left attachment is normal, the right attachment area can reach 5cm × 4cm × 3cm large soft mass, activity, tenderness significantly. Rear