患者,31岁,已婚,停经46天,左下腹痛10小时于1987年2月23日急诊入院。末次月经为1987年1月7日,停经36天始感恶心、食欲不振,无明显诱因,左下腹痛伴有肛门下坠感10小时,无阴道流血和头迷,以异位妊娠诊断入院。既往健康。30岁结婚,婚前、后月经周期规律,婚后因不孕行泛影葡胺子宫输卵管造影诊断:“左输卵管不通”,又行测基础体温法诊断为“无排卵”,1987年1月于月经来潮后第五天口服克罗米芬(每天服50mg,连服5天),同年2月又以同法服克罗米芬后而停经。家族中其爱人之姐曾有一双胎妊娠史。妇科检查:外阴已婚未产型,阴道通畅,宫颈略着色,未产型,宫颈无举痛,后穹窿不饱满,但有轻度触痛,子宫前位,宫体孕40天大,右附件正常,左附件区可触及一似蜡肠样轮廓不 Patients, 31 years old, married, menopause 46 days, left lower abdominal pain 10 hours in February 23, 1987 emergency admission. The last menstrual period for January 7, 1987, menopause 36 days feeling nausea, loss of appetite, no obvious incentive, accompanied by anal pain in the left lower abdominal pain for 10 hours, no vaginal bleeding and head fans to ectopic pregnancy diagnosis and admission. Past health. 30-year-old married, premarital, after the menstrual cycle of law, due to infertility in the line of generic meglumine hysterosalpingography diagnosis: “the left fallopian tube barrier”, but also measured basal body temperature method diagnosed as “anovulation”, January 1987 at Menstruation after the fifth day orally clomiphene citrate (50mg daily, even for 5 days), the same year in February with the same service clomiphene citrulline menopause. The family’s lover’s sister had a twin pregnancy history. Gynecological examination: genital married unproductive type, vaginal patency, cervical slightly colored, non-production type, no pain in the cervix, after the dome is not full, but mild tenderness, uterine anterior, Palace body 40 days pregnant, right Attachment is normal, the left attachment area can touch a sausage-like contour does not