患者宋××,33岁,于1988年3月5日晚饭后2小时开始下腹部呈阵发性疼痛伴频频呕吐急症入院。 近3个月来病人自感腹部有一包块,且逐渐增大,并自感全身乏力,进食欠佳,消瘦,月经尚规律,经量明显减少,白带正常。查体T36.5℃,P84次/分,R27次/分,BP100/70mmHg,痛苦表情,被动体位,体质较瘦,双肺呼吸音清晰,肝脾肋下未触及,腹部膨隆,腹肌紧张,于下腹部触及一包块约5个月妊娠大小偏右,质中等硬度,活动差,触疼明显,双侧腹股沟未触及肿大淋巴结,妇科检查经产外阴,阴道粘膜光滑。宫颈Ⅰ°糜烂,触之出血,后穹窿不饱满,宫颈举摆疼明显,子宫位于 Patient Song XX, aged 33, was admitted to the lower abdomen with paroxysmal pain associated with frequent vomiting emergency at 2 hours after dinner on March 5, 1988. The past three months, the patient has a self-induced abdomen has a mass of the abdomen, and gradually increased, and feel the general malaise, poor eating, weight loss, regular menstruation, menstrual flow significantly reduced, vaginal discharge normal. Examination T36.5 ℃, P84 times / min, R27 beats / min, BP100 / 70mmHg, painful expressions, passive posture, physical thinner, clear breath sounds in both lungs, liver and spleen ribs untouched, bulging abdomen, abdominal muscle tension , In the lower abdomen reach a mass of about 5 months gestation size of the right side, medium and medium hardness, poor activity, obvious touch, bilateral groin did not touch the enlarged lymph nodes, gynecological examination by the vulva, vaginal mucosa smooth. Cervical Ⅰ ° erosion, bleeding, after the dome is not full, the cervix is ​​obvious pain, the uterus is located