患者30岁,病历号60243。该患既往月经规律,孕2产1,宫内置环4年。1985年4月2日正常月经来潮,经期后仍有不规则流血,持续15天来诊。妇科检查:阴道有陈旧血,子宫稍大,左侧附件增厚。行诊刮,同时取环,刮出物为宫内膜未见绒毛。诊刮后下腹部隐痛伴阴道血性分泌物21天,1985年5月10日因全腹疼痛伴恶心呕吐及肛门坠胀9小时 Patient 30 years old, medical record number 60243. The suffering from previous menstrual regularity, pregnancy 2 1, intrauterine ring 4 years. April 2, 1985 normal menstrual cramps, menstrual irregular bleeding after menstruation, 15 days to visit. Gynecological examination: old blood in the vagina, the uterus slightly larger, thickened left attachment. Expedition curettage, taking the ring, scraping the endometrial no hair. After the curettage abdominal pain with vaginal bloody secretions 21 days, May 10, 1985 due to total abdominal pain with nausea and vomiting and anus bulge 9 hours