例1.36岁,农妇,孕4产4,末产一年后哺乳期中。于月经后7天在用力推碾时,突然出现右下腹剧痛于1968年7月15日入院。病后不敢直腰自由走步,无恶心呕吐,可以进食。检查:患妇弓着腰,勉强步行。腹平坦,无肌紧张,右下腹轻度压痛。内诊子宫颈光滑,子宫偏向右后位,不能活动,试图复位则疼痛加剧。右附件区明显触痛。左附件区无触痛,肛诊触及枣大包块,由直肠前壁凸出于肠腔中,包块触痛明显。肛诊指套无血沾染。当时考虑子宫右后位、右附件触痛、直肠前壁 Example 1.36 years old, peasant women, pregnant 4 4, end of the year after lactation. 7 days after menstruation pushed hard, suddenly appeared in the right lower quadrant pain in July 15, 1968 admission. After the illness can not walk freely straight, no nausea and vomiting, you can eat. Check: patient woman bow, barely walking. Abdomen flat, no muscle tension, mild right lower quadrant tenderness. Cervical smooth cervix, uterine right posterior position, can not move, try to reset the pain intensified. Right attachment area obviously tenderness. No attachment to the left area of ​​tenderness, anal touches the jujube block, protruding from the anterior rectal wall in the intestine, mass tenderness significantly. Anorectal fingerprints without blood contamination. At that time consider the right posterior uterus, right attachment tenderness, rectal wall