患者,女,已婚,27岁,住院号6231,停经3个月,于一个月前无诱因出现右下腹痛,因疼痛不太剧烈,未引起重视。三天前患者自觉右下腹疼痛加剧,伴乏力、心慌来我院就诊。妇科检查:外阴发育正常,已婚经产式,阴道通畅,见少量暗红色血液,宫颈光滑,无抬举痛,宫体如孕50天大小,压痛(+),双侧附件扪及不满意,压痛(+),子宫后穹隆穿刺出2mL不凝血。超声检查:子宫前位,大小约70mm×61mm×54mm,宫腔内 Patient, female, married, 27 years old, inpatient 6231, menopause 3 months, no cause of right lower quadrant pain a month ago, due to pain less severe, did not pay attention. Three days ago, the patient felt lower right abdominal pain intensified, with fatigue, palpitation to our hospital. Gynecological examination: vulva development normal, married by the production type, vaginal patency, see a small amount of dark red blood, cervical smooth, no lifting pain, the body such as pregnancy 50 days size, tenderness (+), bilateral attachment palpable dissatisfaction, Tenderness (+), uterine posterior fornix puncture 2mL non-coagulation. Ultrasonography: anterior uterus, the size of about 70mm × 61mm × 54mm, intrauterine