病人,女,78岁。因反复喘息伴咳嗽、咳痰40余年,加重10 d入院。诊为支气管哮喘急性发作,阻塞性肺气肿,Ⅱ型呼吸衰竭。行留置导尿过程中,在正常女性尿道开口位置,未发现尿道开口。经仔细观察排尿情况,始发现患者讨论女性尿道开口变异的文献报道较少见。杨秀容曾报道[1]5例女性尿 Patient, female, 78 years old. Due to repeated wheezing with cough, sputum more than 40 years, increased 10 d admission. Diagnosis of acute exacerbation of bronchial asthma, obstructive pulmonary emphysema, type Ⅱ respiratory failure. During catheter indwelling catheterization, urethral openings were not found in the normal female urethral opening. After careful observation of urination, the first reported cases of female urethral opening variability reported in the literature is rare. Yang Xiu-rong has reported [1] 5 cases of female urine