患者 ,2 9岁 ,因停经 1 0 +3周、下腹痛伴阴道不规则流血 2周入院。该患者既往健康 ,孕 2 产 2 ,均顺产 ,于 1 992年上宫内节育环。查体 :体温36.5℃ ,脉搏 92次 /分 ,呼吸 1 8次 /分 ,血压 1 4/8k Pa,急性病容 ,面色苍白 ,神清。下腹隆起 ,腹肌紧张 ,压痛 ( + ) ,移动性浊音可 Patients, 29 years of age, due to menopause 10 +3 weeks, abdominal pain with vaginal irregular bleeding 2 weeks admitted. The patient’s past health, 2 pregnant 2, are in the same period, in 1999, IUD. Physical examination: body temperature 36.5 ℃, pulse 92 beats / min, breathing 18 beats / min, blood pressure 14k / 8k Pa, acute disease, pale, clear. Lower abdomen bulge, abdominal muscle tension, tenderness (+), mobility dullness can be