患者:26岁,病历号:39071,以停经8周,腹痛10天加重1天而入院。查体:痛苦面容、含血貌、T36.5℃、P:80次/分,Bp:16/10KPa。心肺正常,全下腹压痛(+)、肌紧张(+)、反跳痛(+)、叩诊移动性浊音阳性,内诊:子宫前位、正常大小、宫颈举痛明显,后穹窿饱满触痛、双侧附件饱满、压痛(+),后穹窿穿刺抽出不凝血2毫升,以宫外孕行剖腹探查术、术中吸取陈旧积血800ml、见右侧输卵管壶腹部增粗3×4cm,表面呈紫兰色无破口,卵巢正常,行右侧输卵管切除术,探及左侧 Patients: 26 years old, medical record number: 39071, to menopause for 8 weeks, 10 days aggravated abdominal pain and admission. Physical examination: painful face, blood-containing appearance, T36.5 ℃, P: 80 beats / min, Bp: 16 / 10KPa. Normal heart and lung, the whole lower abdomen tenderness (+), muscle tension (+), rebound tenderness (+), percussion mobile dullness positive, internal medicine: anterior uterus, normal size, cervical pain was obvious, posterior fornix full tenderness, Bilateral attachment full, tenderness (+), culdocentesis out of non-clotting blood 2 ml to laparotomy exploration ectopic pregnancy, surgery to absorb obsolete hemorrhage 800ml, see the right tubal ampulla thickened 3 × 4cm, the surface was purple orchid Color without breaking, normal ovary, right tubal resection, exploration and left