患者31岁,住院号954。因阴道不规则流血1个月,下腹坠痛4小时于1986年2月8日入院。病人平素月经规律,末次月经1985年12月6日。1986年1月9日阴道流血,少于平素月经量,2天干净。4～5天后阴道又少量流血,黑紫色,无血块,淋漓不断,持续至2月6日,无肉样物流出。入院前2周自觉乳房胀痛,无恶心、呕吐及咳嗽、喀血。入院当日上午10时许,无诱因下腹坠痛,以右下腹为重,向会阴部及肛门放散,无晕厥。 Patient 31 years old, hospital number 954. Irregular bleeding due to vaginal 1 month, lower abdomen fall pain 4 hours on February 8, 1986 admission. Patients usually menstrual regularity, the last menstrual December 6, 1985. January 9, 1986 vaginal bleeding, less than usual menstrual flow, 2 days clean. 4 to 5 days after vaginal and a small amount of bleeding, dark purple, no blood clots, dripping continued until February 6, no meat-like material out. 2 weeks before admission conscious breast tenderness, no nausea, vomiting and cough, blood card. 10 o’clock on the day of admission, no incentive to lower abdomen pain, to the right lower quadrant as the weight, to the perineum and anal discharge, no syncope.