患女,28岁,已婚。因停经52d,阴道不规则出血,伴下腹痛5d,于1997年7月29日诊断为宫外孕收入院。既往月经欠规律,周期13(4～6)/(30～40))LMP1997年5月2日。1997年7月24日停经52d阴道出血,以为月经来潮,次日无明显诱因突发左下腹疼痛,持续约40min后缓解,伴恶心,未呕吐,无肛门坠胀感无晕厥史,曾于当地医院按结肠炎治疗无效。B超检查提示:左附件区混合性包块,盆腔积液,不除外宫外孕。急诊来院就诊。入院查体:体温36.8℃,脉 Women, 28 years old, married. Due to menopause 52d, vaginal irregular bleeding, with abdominal pain 5d, on July 29, 1997 diagnosis of ectopic pregnancy income hospital. Previous menstrual irregularity, period 13 (4 ~ 6) / (30 ~ 40)) LMP May 2, 1997. July 24, 1997 menopause 52d vaginal bleeding, that menstrual cramps, the next day no obvious incentive sudden left lower quadrant pain, sustained about 40min after the relief, with nausea, no vomiting, no anal dang feeling no syncope, had local The treatment of colitis by the hospital is invalid. B-ultrasound tips: left attachment area mixed mass, pelvic fluid, not excluding ectopic pregnancy. Emergency hospital. Admission examination: body temperature 36.8 ℃, pulse