患者，女，２１岁。因停经后４０天，伴恶心腹痛呕吐入院，入院前７小时，自觉无别诱因突然感左下腹部疼痛，为持续性伴头昏，眼花，心慌，出冷汗腹胀。查体：面色苍白，全腹均压痛，肌紧及反跳痛，下腹部移动性浊音，肠鸣音弱，Ｂ超报告：子宫及附件均正常，妇科检查见宫颈举 Patient, female, 21 years old. 40 days after menopause, nausea, abdominal pain and vomiting hospitalization, 7 hours before admission, suddenly felt a sense of other causes of sudden left lower quadrant pain, persistent partner with dizziness, vertigo, palpitation, cold sweat abdominal distension. Physical examination: pale, full belly tenderness, muscle tightness and rebound tenderness, the lower abdomen migratory dullness, weak bowel sounds, B-ultrasound report: the uterus and accessories are normal, gynecological examination, see the cervix