病人 ,女 ,2 4岁。因发现子宫肌瘤 1年余 ,停经 12 0 d入院。病人1年前婚检时发现小型子宫肌瘤 ,月经无变化 ,12 0 d前停经 ,3 0 d前行 B超检查发现妊娠合并卵巢肿瘤 ,病人近 2 0 d感腹胀 ,腹部明显增大 ,无明显呼吸困难 ,腹痛 ,发热等不适。查体 :一般情况好 ,宫底平脐 ,子宫 Patient, female, 24 years old. I found more than 1 year of uterine fibroids, menopause 12 0 d admission. The patient was found to have small uterine fibroids at the time of premarital examination 1 year ago, no change of menstruation, menopause 12 days before dying, and ultrasound examination of pregnancy with ovarian tumor on the 30th day. The patient had abdominal distension in the recent 20 days and the abdomen was obviously increased Obvious difficulty breathing, abdominal pain, fever and other discomfort. Physical examination: the general situation is good, Umbilical end uterine flat uterus