病史摘要:金××,女,31岁。1979年5月12日急诊入院。6天前因脐周及左中下腹突然剧痛,昏厥2次伴呕吐,曾在他院急诊观察数天。5月11日又有类似发作,转来本院。初步诊断为肠虫症及肠系膜淋巴结炎。12日凌晨5时半,腹痛加剧,出冷汗、四肢冰冷,呕吐一次。见神志清楚、痛苦面容、贫血貌。血压90/50毫米汞柱,脉搏92次/分,血红蛋白6.2克,白细胞9,300/立方毫米,中性84％,淋巴16％。无停经史,无阴道流血。末次月经1979年4月15日,持续5天,经血量如平常。上次月经1979年3月15日。平时月经周期5/15～30天。生育史2-0-0-2,幼孩3岁,放环3年。腹部检查:腹胀满,略有移动性浊音,脐及中下腹有强扪痛及肌卫。妇科检查:宫颈不着色,见有2根环丝。宫颈明显举痛,子宫体与附 Medical history summary: gold × ×, female, 31 years old. May 12, 1979 emergency admission. 6 days ago due to a sudden sharp pain in the umbilical cord and left lower quadrant, fainting 2 times with vomiting, emergency observation in his hospital for several days. May 11 and a similar attack, transferred to the hospital. Initial diagnosis of intestinal worms and mesenteric lymphadenitis. At half past five on the 12th, abdominal pain intensified, cold sweats, cold limbs, vomiting once. See the conscious, painful face, anemia appearance. Blood pressure 90/50 mm Hg, pulse 92 beats / min, hemoglobin 6.2g, white blood cells 9,300 / cubic mm, 84% neutral, lymph 16%. No stop-reading history, no vaginal bleeding. Last menstrual April 15, 1979, lasted 5 days, menstrual flow as usual. Last menstrual March 15, 1979. Menstrual cycle usually 5/15 ~ 30 days. Fertility history 2-0-0-2, young children 3 years old, put the ring for 3 years. Abdominal examination: bloating full, a little mobility dullness, umbilical and lower abdomen with strong pain and myofibril. Gynecological examination: Cervical non-staining, see there are 2 ring wire. Cervical pain was obvious, the uterus and attached