1病历报告患者,女,31岁,因下腹痛1d,于2008年4月25日23:00急诊收入我院。该患平素月经规律,末次月经2008年3月24日,色、量均正常。于2008年4月25日上午,无诱因突发下腹疼痛,呈持续性,逐渐加重,曾晕厥1次。查体:脉搏100次/min,血压80/40mmHg,贫血貌,痛苦面容,下腹膨隆,压痛阳性, 1 medical records of patients, female, 31 years old, due to lower abdominal pain 1d, at April 23, 2008 at 23:00 emergency income in our hospital. The plain rule of menstruation, the last menstrual March 24, 2008, color, volume were normal. On the morning of April 25, 2008, there was no incentive to have abdominal pain, which was persistent and gradually aggravated. The patient had a syncope. Physical examination: pulse 100 beats / min, blood pressure 80 / 40mmHg, anemic appearance, painful face, abdominal bulging, tenderness positive,