患者 39岁 ,住院号 2 0 0 5 115 ,孕 1产 1。因下腹持续性疼痛 2天 ,伴畏寒发热 10小时于 2 0 0 2年 1月 2 0日入院。入院查体 :一般情况可 ,急性病容 ,表情痛苦 ,下腹部膨隆 ,腹肌紧张明显 ,全腹压痛、反跳痛阳性 ,肝脾触诊不满意。妇科检查 :宫颈举痛明显 ,子宫前位 ,正常大 The patient was 39 years old, with a hospitalization number of 2 0 0 5 115 and a birth of 1. Persistent abdominal pain for 2 days, with chills and fever 10 hours on January 20, 2002 admission. Admission examination: The general situation can be, acute disease, facial expression pain, abdominal distension, abdominal muscle tension, abdominal tenderness, rebound pain positive, liver and spleen palpation are not satisfied. Gynecological examination: cervical pain was obvious, the anterior uterus, normal large