患者邹某,33岁,因停经52天,下腹部阵痛10余天,近一日加重,于1990—09—16到我院就诊。既往月经周期规律,末次月经1990—07—24,停经30余日有早孕反应.查体:一般状态尚可,血压、体温、脉搏均正常,腹软,下腹部压痛,无反跳痛,无移动性浊音。妇检:宫体前位增大,宫底耻上二指,双侧附件未触及.B 超提示:子宫体增大,位于子宫后壁可见2.4cm×27cm×2.3cm 胎囊,初步诊断孕8周,先兆流产。给予保胎治疗.入院后第二天腹痛明显加重,胃区不适伴贫血面容,急检血常规回报结果Hb5.0g。复查 B 超提示:子宫位置可见10.6cm×6cm×7.9cm 回声不均增强区,轮廓不清,在此后下向方可见 Patients Zoumou, 33 years old, due to menopause 52 days, lower abdomen pain more than 10 days, nearly one day increased, in 1990-09-16 to our hospital. Past menstrual cycle, the last menstrual period 1990-07-24, menopause 30 days have early pregnancy response. Physical examination: the general state is acceptable, blood pressure, body temperature, pulse were normal, abdominal soft, abdominal tenderness, no rebound tenderness, no Mobility dullness. Fetal examination: Palace anterior enlargement, the palace at the bottom of shame on the second finger, bilateral attachments not touched .B-Tip: The uterus increased, located in the posterior wall of the uterus visible 2.4cm × 27cm × 2.3cm fetal sac, the initial diagnosis of pregnancy 8 weeks, threatened abortion. Given miscarriage treatment abdominal pain was significantly increased the day after admission, stomach discomfort with anemia, emergency blood test results returned Hb5.0g. Review of B-Tip: The uterus can be seen 10.6cm × 6cm × 7.9cm uneven enhancement of echogenicity, the outline is unclear, after the next to be seen