老年性子宫炎合并子宫底穿孔致弥漫性腹膜炎者罕见,本文报告1例。 患者 女,63岁,因突发全腹剧烈持续疼6天,伴恶心、恶吐、腹泻及发热,于1990年8月7日入院。曾在当地医院就诊未明确诊断。原患“慢性贫血”及“子宫体炎”,已闭经18年,查体:体温39℃,脉搏120次,呼吸24次,血压15/10kPa。消瘦,神志模糊,呼吸急促深大。心肺未见异常。腹膨隆,全腹肌紧张、压痛、反跳痛,有移动性浊音,肠鸣音减弱。阴道无分泌物。实验室检查:血红蛋白62g/L,白细胞21.8×10~9/L,中性 Senile uterine infection with diffuse peritonitis caused by perforation of the uterus are rare, this article reports 1 case. The female patient, aged 63, was admitted to hospital on August 7, 1990 due to a sudden onset of severe acute abdomen and persistent pain for 6 days, with nausea, vomiting, diarrhea and fever. Have not been diagnosed at a local hospital. The original suffering from “chronic anemia” and “uterine inflammation”, has amenorrhea 18 years, physical examination: body temperature 39 ℃, pulse 120 times, breathing 24 times, blood pressure 15 / 10kPa. Weight loss, confusion, deep breathing rapid. Heart and lung no abnormalities. Abdominal bulge, the whole abdominal muscle tension, tenderness, rebound tenderness, a moving dullness, bowel sounds weakened. No vaginal secretions. Laboratory tests: hemoglobin 62g / L, white blood cells 21.8 × 10 ~ 9 / L, neutral