患者女，49岁，发现下腹包决1年半，无不规则阴道出血，一月来阴道排液伴断续高烧，腹痛加重3大入院。T38．5℃，恶病质面容。尿蛋白（＋），尿酮体（）。血色素559／L，白细胞3．2×109／L，血小板96×109／L。妇查：下腹见4+月妊娠立包块，有囊性感，活动受限，无压痛。阴道 Female patient, 49 years old, was found in the lower abdomen for a year and a half, all regular vaginal bleeding, vaginal discharge in January with intermittent fever, abdominal pain increased three major admission. T38.5 ℃, cachexia surface. Urine protein (+), urinary ketone body (). Hemoglobin 559 / L, white blood cells 3.2 × 109 / L, platelets 96 × 109 / L. Women: lower abdomen see 4 + month pregnancy mass, a cystic sexy, limited mobility, no tenderness. vaginal