患者 2 7岁 ,住院号 3 0 0 575。因停经 8个月 ,左上腹及腰背部疼痛伴恶心、呕吐 3h急诊入院。患者定期产前检查无异常 ,入院前 3h夜间睡眠时突发左上腹及左季肋部胀痛 ,疼痛呈持续性并逐渐加重 ,伴恶心、呕吐。无下腹部阵痛及阴道流血、流水。入院查体 :生命体征正常 ,肝脾未 Patient 27 years old, hospital number 3 0 0 575. Due to menopause 8 months, the left upper quadrant and lower back pain with nausea, vomiting 3h emergency admission. Patients with regular prenatal examination was normal, 3h before sleep at night when the sudden onset of left upper quadrant and left quarter rib pain, pain was persistent and gradually increased, with nausea and vomiting. No lower abdominal pain and vaginal bleeding, running water. Admission examination: vital signs normal, liver and spleen not