1病例资料患者,女,22岁,因“停经37周,腹痛3 d,加重6 h”入院,患者平素月经规律,末次月经2014年3月15日,孕40余天超声检查示宫内妊娠,孕早期未出现明显早孕反应,现孕37周,自述3 d前出现感冒症状伴不规律腹痛,未在意,1 d前停止排气、排便,6 h前腹痛加重,以上腹痛开始,后腹痛呈板状腹,伴恶心、呕吐;入院查体:宫高34 cm,腹围 1 Case data Patients, female, 22 years old, because of “menopause 37 weeks, abdominal pain 3 d, increased 6 h ” admission, the patient usually menstrual regularity, the last menstrual March 15, 2014, more than 40 days pregnant ultrasound showed intrauterine Pregnancy, early pregnancy did not appear obvious early pregnancy reaction, now 37 weeks pregnant, 3 days before the presentation of symptoms of influenza with irregular abdominal pain, did not care, stop the exhaust 1 d, defecation, abdominal pain increased 6 h, the above abdominal pain began Abdominal pain was flat belly, with nausea and vomiting; admission examination: Palace height 34 cm, abdominal circumference