患者女,28岁,住院号9058。于1979年11月27日以下腹部疼痛一个月,近三天加重入院。该患既往有先天性心脏室间隔缺损。月经史:婚前经期不准,婚后比较规律,末次月经10月5日,未孕。检查:表情淡漠,口唇及指端发绀(+),杵状指(+),血压120/90毫米汞柱,心界扩大,可闻Ⅲ级缩鸣,肺(-)。肝脾(-),下腹部压疼(+),反跳痛(-)。妇科检查:阴道能容纳2指,有少量血液,宫颈小,单官口,宫体 Female patient, 28 years old, hospital number 9058. In November 27, 1979 the following abdominal pain for a month, nearly three days to increase admission. The suffering from congenital heart ventricular septal defect. Menstrual history: pre-menstrual period are not allowed, more regular marriage, the last menstrual October 5, not pregnant. Check: apathy, lips and fingers cyanosis (+), clubbing (+), blood pressure 120/90 mm Hg, heart expanded, can be heard Ⅲ grade Ming Ming, lung (-). Liver and spleen (-), lower abdominal tenderness (+), rebound tenderness (-). Gynecological examination: vagina can accommodate 2 fingers, a small amount of blood, small cervix, single official mouth, Palace