恶性滋养细胞肿瘤为血行转移,对器官的破坏力强,常可穿透子宫肌层引起子宫穿孔并发腹腔大出血,我院从1972年～1991年收治病例中手术切除子宫的有363例,其中因子宫穿孔并发腹腔内大出血的有27例,占手术的7.43％。通过对其发病年龄,发病率,临床分期、临床特点、手术特点, Malignant trophoblastic tumor hematogenous metastasis, the destruction of the organ is strong, often can penetrate the myometrium and cause peritoneal perforation of the perforation of the hemorrhage, our hospital from 1972 to 1991 admitted cases of surgical removal of the uterus, there are 363 cases, of which Perforated intraperitoneal bleeding in 27 cases, accounting for 7.43% of surgery. Through its age of onset, incidence, clinical stage, clinical features, surgical characteristics,