患者女,23岁,昏厥一次入院。月经结束17天,2天前有左上腹被桌角碰伤史。查:意识清,贫血貌,P 120次/min,BP10.7/8kPa,全腹压痛,以左上腹为著,无肌卫,左上腹肋缘可见2cm×2.5cm瘀紫块,脾区有叩痛,左下腹穿刺可抽出不凝固血性液4ml。辅助检查:尿HCG阴性,超声提示腹腔内积液、脾影增大, Female patient, 23 years old, fainting once admitted. Menstruation end 17 days, 2 days before the left upper abdomen was a table corner collision history. Check: awareness clear, anemia appearance, P 120 times / min, BP10.7 / 8kPa, full abdominal tenderness, to the left upper abdomen, without musculus, the left upper abdomen ribs visible 2cm × 2.5cm stasis purple block, spleen area Percussion pain, puncture the left lower quadrant can be extracted non-coagulation bloody fluid 4ml. Auxiliary examination: urine HCG negative, ultrasound prompted intraperitoneal fluid, spleen shadow increased,