1资料女,30岁,已婚未育,自然流产1次。因停经38+6周,突发剧烈腹痛2h,伴恶心呕吐,于2009年1月28日9点45分急诊入院。末次月经2008年5月15日,停经40余天诊断早孕,孕期不定期产检未见明显异常,预产期2009年2月22日。于2009年1月16日B超提示臀位,1月25日在家摔倒一次,膝关节先着地,当时无特殊不适。1月27日感胎动频繁未行诊治,次日7点左右无诱因突然出现下腹剧烈疼痛,呈持续性,无阴道流血、流水,无发热,腹泻伴恶心呕吐急诊入院。进院时需搀扶,痛苦貌,面色苍白,T36.5℃,BP13.3/8.00kPa,P76次/min,R21次/min,心肺正常,腹隆起,腹肌紧张,压痛、反跳 1 data female, 30 years old, married and not pregnant, spontaneous abortion 1 times. Due to menopause 38 + 6 weeks, sudden severe abdominal pain 2h, with nausea and vomiting, at 9:45 on January 28, 2009 emergency admission. The last menstrual period May 15, 2008, menopause diagnosis more than 40 days of early pregnancy, irregular pregnancy during pregnancy showed no significant abnormalities, the expected date of February 22,. On January 16, 2009 B-Tip breech, January 25 fell at home once, knees first on the ground, then no special discomfort. On January 27th, the sensation of fetal movement was not diagnosed and treated frequently. At 7 o’clock the next day, there was a sudden onset of severe pain in the lower abdomen with no persistent vaginal bleeding, running water, no fever and diarrhea with nausea and vomiting. Need to be admitted to the hospital, painful, pale, T36.5 ℃, BP13.3 / 8.00kPa, P76 times / min, R21 times / min, cardiopulmonary normal, abdominal bulge, abdominal muscle tension, tenderness, rebound