患者主因停经2个月余,下腹痛5小时于1995年2月11日入院,以往月经(2-4)/(28/30)天,末次月经1994年12月3日,孕1产0,停经后有早孕反应,发病前无阴道出血及其它明显诱因,突然下腹部呈持续性疼痛伴有恶心呕吐,查体:T37.5℃,P80次,/min,R20次/min,BP15/9kPa,痛苦面容,神志清,心肺正常,肝脾未触及,下腹略隆起,压痛阳性,妇科检查,外阴已婚型,阴道无异常分泌物,宫颈光滑紫蓝色,后穹隆饱满,宫颈举痛阳性,宫体如孕2个月大小,两侧附件区均有压痛,右侧饱满,有囊样感,但大小界线清,左侧扪及囊性包块,如拳头大小,可活动。B超:宫内可 Patients mainly due to menopause more than 2 months, 5 hours of lower abdominal pain in hospital on February 11, 1995, previous menstruation (2-4) / (28/30) days, the last menstrual December 3, 1994, Early postmenopausal reaction after menopause, no vaginal bleeding before onset and other obvious incentives, abercrombie france, sudden lower abdomen was persistent pain associated with nausea and vomiting, physical examination: T37.5 ℃, P80, / min, R20 times / min, BP15 / 9kPa , Painful face, clear mind, normal heart and lung, liver and spleen not touched, lower abdomen slightly elevated, tenderness positive, gynecological examination, genital married, no abnormal vaginal secretions, cervical smooth purple blue, full dome after cervical pain positive , The body of the body, such as 2 months pregnant size, attachment area on both sides have tenderness, the right side full, a cystic, but the size of the line clear, the left palpable cystic mass, such as fist size, activity. B super: intrauterine can be