病例简介 患者,女,27岁,农民。因腹痛,头晕3天,伴右侧偏瘫、意识不清6h入院。腹痛始于左下腹,呈持续性刀割样疼痛,渐扩散到全腹,且疼痛减轻,伴头晕、恶心、心慌、乏力。当地诊所给予输液治疗(具体用药不详),疗效不佳。入院前6h起床时晕倒在地,被扶起后出现神志不清,右侧肢体瘫痪,急来诊。月经14(3～5/28～30),末次月经较以往周期推迟6天,23岁结婚,孕1产1。体检:体 Case description Patient, female, 27 years old, farmer. Due to abdominal pain, dizziness for 3 days, with the right hemiplegia, unconsciousness 6h admission. Abdominal pain began in the lower quadrant on the left, showed a continuous knife-like pain, gradually spread to the whole abdomen, and pain relief, with dizziness, nausea, palpitation, fatigue. The local clinic to give infusion therapy (specific medication is unknown), poor efficacy. 6h before admission fainted when getting up, was propped up after the unconscious, paralyzed right limb, urgent visit. Menstrual 14 (3 ~ 5/28 ~ 30), the last menstrual period delayed 6 days than the previous cycle, 23-year-old married, 1 pregnant and 1. Physical examination: body