丁某,50岁,突然出现下腹痛1小时,于1990年2月4日入院。末次月经1990年1月8日,绝育23年。入院检查,一般情况尚好,血压16/10.6kPa,体温37℃,心肺正常,肝脾未及,右下腹轻压痛,妇科检查:外阴阴道正常,宫颈光,子宫颈无举痛,后穹窿不饱满,子宫体中间位,前壁突出似成人拳头大,质硬,有明显压痛,双侧附件正常。拟诊子宫肌瘤伴感染。给予卡那霉素抗炎,腹痛无好转。B超检查提 Dingmou, 50 years old, suddenly had abdominal pain for 1 hour and was admitted on February 4, 1990. The last menstruation January 8, 1990, 23 years of sterilization. Admission examination, the general situation is good, blood pressure 16 / 10.6kPa, body temperature 37 ℃, normal lung and spleen, liver and spleen and right lower quadrant mild tenderness, gynecological examination: normal vulva, cervical light, no pain in the cervix, posterior fornix not full , The median uterine position, anterior fist prominent adult fist, hard, tenderness, bilateral attachment normal. Conscious uterine fibroids with infection. Give kanamycin anti-inflammatory, abdominal pain without improvement. B-check to mention