患者,女,26岁。因停经7个月,上腹痛、呕吐4d,阴道流血1d入院。入院体查体温:37.5℃,脉搏:120次/min,呼吸:20次/min,血压:120/80mm Hg(1mm Hg=0.133k Pa)。发育正常,营养良好,正常面容,神志清楚,精神欠佳,自动体位,查体合作,问答切题,全身皮肤黏膜未见黄染,全身浅表淋巴结未触及肿大。心肺检查无异常发现。腹部膨隆,全腹无压痛及反跳痛,未触及腹部包块,肝、脾肋缘下未触及,莫菲氏征阴性,肝及肾区无叩击痛,腹部移动性浊音阴性,肠鸣音正常,肛门未查。双下肢无水肿,四肢肌力、肌张力正常。辅助检查:(1)肝胆脾 Patient, female, 26 years old. Due to menopause 7 months, abdominal pain, vomiting 4d, vaginal bleeding 1d admission. Body temperature at admission: 37.5 ° C, pulse rate: 120 beats / min, respiration: 20 beats / min, blood pressure: 120/80 mm Hg (1 mm Hg = 0.133k Pa). Normal development, good nutrition, normal face, consciousness, poor health, automatic position, physical examination cooperation, question and answer questions, systemic skin and mucous membrane no yellow dye, systemic superficial lymph nodes not touched enlargement. No abnormal findings of cardiopulmonary examination. Abdomen bulging, the whole abdomen without tenderness and rebound tenderness, did not touch the abdominal mass, liver, spleen rib margin did not touch, Murphy’s sign negative, liver and kidney area without percussion pain, abdominal movement dullness negative, bowel Sound normal, anal not checked. No lower extremity edema, limb muscle strength, muscle tone normal. Auxiliary examination: (1) Liver and gallbladder spleen