1　临床资料　　患者女性 ,5 0岁 ,于 1999年 1月 19日在我院妇科行子宫全切术 (子宫肌瘤 )。手术后第 2天上午平卧时突然出现呼吸困难、咳嗽、咳痰带血丝 ,发病 1小时后下床活动时突发晕厥 ,大、小便失禁 ,约 10分后症状自行缓解。并于当天下午出现低热 ,体温 37.8℃ ,因上述 1 Clinical data Female patients, 50 years old, in January 19, 1999 in our hospital gynecological hysterectomy (uterine fibroids). On the second day after surgery, supine dyspnea suddenly appeared in the morning when supine, cough and sputum with bloodshot eyes. Sudden onset of syncope, large and urinary incontinence after getting rid of bed activity for 1 hour after onset of symptoms were relieved in about 10 minutes. And in the afternoon there was fever, body temperature 37.8 ℃, due to the above