1病历报告患者，女，58岁，因摔伤致腹痛3h人院。人院前3h行走时不慎摔伤，身体左侧着地，地面无突出物，约20min后出现腹部胀痛窜痛，不放射，呈持续性。阵发性加重，间隔约10～30mln以上腹部为重。人院后查腹部B超，提示腹腔少量积液，24h后复查B超，提示腹腔积液增加，腹穿 1 medical record patient, female, 58 years old, suffered abdominal pain caused by a fall 3h hospital. When the person walks 3 hours before the hospital, he accidentally falls. The left side of the body touches the ground. There is no prominence on the ground. After about 20 minutes, there is pain in the abdomen, no radiation, and continuity. Paroxysmal aggravation, interval about 10 ~ 30mln above the abdomen as the most important. After the hospital was examined abdominal B ultrasound, suggesting a small amount of peritoneal effusion, 24 hours after the review of B ultrasound, suggesting that the increase in abdominal effusion, abdominal wear