患者22岁,住院号871341,已婚孕1产0,因停经2~+月,反复下腹疼痛并阴道流血13天,于87年4月11日下午4时30分第一次入院。86年10月行人流术。末次月经87年1月28日,于3月28日起阴道流血并腹痛,三天后阴道流出肉样组织一块,抗炎治疗后仍下腹反复疼痛而收入院。体查:急性痛苦面容、贫血貌、下腹压痛反跳痛,转移性浊音。妇科检查:阴道有暗褐色分泌物,宫颈 Patient 22 years old, hospital number 871341, married pregnant 1 produce 0, due to menopause 2 to + month, repeated abdominal pain and vaginal bleeding for 13 days, at April 4, 1987 at 4:30 on the first admission. 86 years in October pedestrian flow. The last menstrual period January 28, 1987, on March 28 vaginal bleeding and abdominal pain, three days after vaginal outflow of meat-like tissue, anti-inflammatory treatment is still repeated abdominal pain and admission to hospital. Physical examination: acute painful face, anemia appearance, abdominal tenderness rebound tenderness, metastatic dullness. Gynecological examination: dark brown vagina secretions, cervix