患者24岁。闭经49天,发现腹内包块10余天,伴下腹疼痛,恶心数小时,于1994年7月14日急诊入院。末次月经1994年5月26日,既往月经规律。20岁结婚,孕1产0。6月2日下腹被踢伤,6月5日开始阴道流血,暗红色,淋漓不尽。7月3日血止。此期间曾自服三七片2日,量不详。体检:下腹隆起如孕16周,质硬,光滑,不活动,压痛,反跳痛不明显,移动性浊音(+)。妇科检查:阴道通畅、光滑,有较多白色粘稠分泌物。宫颈举痛不明显。子宫、附件因 The patient is 24 years old. Amenorrhea for 49 days, abdominal mass found more than 10 days, with abdominal pain, nausea hours, July 14, 1994 emergency admission. The last menstrual period May 26, 1994, the past menstrual regularity. 20-year-old married, pregnant 1 produce 0. 6 2 lower abdominal was kicked, June 5 began vaginal bleeding, dark red, dripping endless. July 3 blood only. During this period has served thirty-seven on the 2nd, the amount is unknown. Physical examination: Lower abdominal bulge, such as 16 weeks pregnant, hard, smooth, inactive, tenderness, rebound tenderness is not obvious, mobility dullness (+). Gynecological examination: vaginal patency, smooth, more white viscous secretions. Cervical pain is not obvious. Uterus, attachment due to