患者,女,已婚,停经56d,1993年8月16日上午11时,上侧所时突然腹痛昏厥,约10min后清醒,恶心呕吐频繁,疼痛部位开始在右下腹,后为整个下腹,痛如刀割,左侧卧及平卧时疼痛加剧。既往无特殊疾患。月经14(3—4/28)d,无痛史。曾患盆腔炎和附件炎。检查:急病容,面色苍白,大汗淋漓。体温37.4℃,脉搏98次/min,呼吸22次/min,血压12/6.6kPa。心肺正常,下腹部隆起,有抵抗感,压痛明显,右下腹扣诊轻度移动性浊音。妇科检查,子宫左后屈位,增大如拳头大,明显压痛,活动受限,软。阴道前穹隆消失,后穹隆饱满。宫颈充血,有明显举痛,12点、6点处有两条紫蓝色血管呈弯曲样。宫口无血性分泌物。后穹隆穿刺抽出黄红色液体2ml,30min不凝集。初诊为宫外孕。控制 Patients, women, married, menopausal 56d, at 11 o’clock on the August 16, 1993, when the abdomen suddenly abdominal pain syncope, awake about 10min, frequent nausea and vomiting, the pain began in the lower right abdomen, after the entire lower abdomen, pain Such as knife, left and lying and lying pain intensified. No special disease in the past. Menstrual 14 (3-4 / 28) d, painless history. Have pelvic inflammatory disease and annex inflammation. Check: acute illness, pale, sweating. Body temperature 37.4 ℃, pulse 98 beats / min, breathing 22 times / min, blood pressure 12 / 6.6kPa. Cardiopulmonary normal, lower abdomen bulge, a sense of resistance, tenderness significantly lower right lower abdominal buckle mild mobility dullness. Gynecological examination, uterine left posterior flexion, increased, such as big fist, obvious tenderness, limited mobility, soft. Vaginal vault disappeared, after full dome. Cervical congestion, there was a clear pain, at 12 o’clock, at 6 o’clock there are two purple-blue blood vessels were curved. Uterus no bloody discharge. After the dome puncture out yellow-red liquid 2ml, 30min does not agglutinate. First visit for ectopic pregnancy. control