1 病例报告患者女,42岁。因右上腹痛1h入院。1h前与其丈夫发生争吵而被拳脚击中右上腹部,即感剧痛,继而腹胀,逐渐加重,并且头晕,大汗,恶心呕吐,昏厥1次。即往月经正常,妊2产2,绝育11年,停经42天,无阴道流血及腹痛史。查体:体温36.7℃,脉搏109/min,呼吸22/min,血压10.7/6.7kPa(80/50mmHg),面色苍白,神志清。心肺未发现明显异常。腹部膨隆,全腹压痛(+),反跳痛(+),肌紧张(+),移动性 A case report patient female, 42 years old. 1h due to right upper quadrant pain admission. 1h and her husband before a quarrel fist hit the right upper abdomen, that is, a sharp pain, then bloating, and gradually increased, and dizziness, sweating, nausea and vomiting, fainting 1 times. To the normal menstruation, pregnancy 2 2, sterilization 11 years, menopause 42 days, no history of vaginal bleeding and abdominal pain. Physical examination: body temperature 36.7 ℃, pulse 109 / min, breathing 22 / min, blood pressure 10.7 / 6.7kPa (80 / 50mmHg), pale, clear consciousness. Cardiopulmonary no significant abnormalities found. Abdominal bulging, total abdominal tenderness (+), rebound tenderness (+), muscle tension (+), mobility