患者,女,19岁,未婚,因下腹坠痛15h于2014年7月12日15时就诊。患者平素月经规则,末次月经2014年6月18日。昨晚性生活后即出现下腹坠痛,波及肛周,诉短时翻身困难。疼痛持续15min后自行缓解,能起床活动,仍有隐隐坠痛,无恶心呕吐腹泻,无尿频、尿急、尿痛,能入眠。午饭后下腹疼痛加剧,14时左右出现恶心呕吐、肛门胀痛急诊入院。查体:一般情况较差,痛苦貌,脸色苍白,大汗淋漓,趴坐着,不能平 Patient, female, 19 years old, unmarried, suffering from pain in the lower abdomen 15h On July 12, 2014, at 15:00. Patients usually menstruation rules, the last menstrual June 18, 2014. After falling asleep late last night after sex, affecting the perianal, v. Stand up short-term difficulties. 15min after the pain sustained self-remission, can wake up activities, there are still latent pain, no nausea and vomiting, diarrhea, urinary frequency, urgency, dysuria, to sleep. Abdominal pain worsened after lunch, nausea and vomiting at about 14 o’clock, anal pain and emergency admission. Physical examination: the general situation is poor, painful appearance, pale, sweating, lying, can not be flat