患者 ,38岁 ,主因停经 5 6 d,下腹坠痛 10 d,剧痛 1次 ,晕厥 4次于 1999年 11月 3日入院。平素月经规律 ,末次月经 1999年 9月 7日 ,停经后无明显早孕反应 ,10 d前自感下腹坠痛 ,呈阵发性 ,恶心呕吐 ,晕厥4次 ,当地医院诊断不清 ,急诊入我院。查体 :体温 36℃ ,脉搏 90次 /分 , Patients, 38 years old, mainly due to menopause 56 days, pain in the lower abdomen 10 days, severe pain 1 times, syncope 4 times on November 3, 1999 admission. Normal menstrual regularity, the last menstrual period September 7, 1999, no obvious early pregnancy reaction after menopause, 10 days before the lower abdomen pain, paroxysmal nausea and vomiting, syncope 4 times, the local hospital diagnosis is not clear, emergency me into hospital. Physical examination: body temperature 36 ℃, pulse 90 beats / min,