1临床资料:患者,女,27岁。末次月经2013年1月5日,现停经5个月。停经40天时自查尿妊娠试验阳性,停经50天行超声检查提示“宫内孕”。停经7周开始恶心、呕吐等早孕反应,至今仍有轻微恶心、呕吐反应,近1个月前开始感觉胎动至今。查体:一般情况可,神清合作。心肺检查无异常发现;上腹平软,下腹稍隆起,未见肠型及异常蠕动波,平脐处扪及增大的子宫底,无压痛。妇科检查:外阴已婚未产式,阴道光滑通畅,分泌物色白量中,宫颈光滑无举痛,宫体前位,增大如5个月孕,质地偏软无压痛,双附件区因增大的子宫占据而无 1 clinical data: patients, female, 27 years old. The last menstrual January 5, 2013, now menopause 5 months. Menopausal 40 days when self-examination urine pregnancy test was positive, 50 days after menopause ultrasound examination prompted “intrauterine pregnancy ”. Nausea and vomiting, such as nausea and vomiting, started to occur after 7 weeks of menopause. So far there is still a slight nausea and vomiting reaction, and fetal movement has been felt almost 1 month ago. Physical examination: the general situation can be, Shen Qing cooperation. No abnormal heart and lung examination found; abdominal soft, slightly bulging lower abdomen, no intestinal type and abnormal peristalsis, umbilical flat umbilical palpable increased end of the uterus, no tenderness. Gynecological examination: genital married unproductive, vaginal smooth, color secretion secretions, smooth cervical painless, palace anterior, increased as 5 months of pregnancy, soft and tender texture without tenderness, double attachment area due to increase Large uterine occupy without