患者,女,47岁(住院号63847)。主诉:左小腿肿痛二十余年,溃烂数月。患者于二十五、六年前左小腿肿痛,时轻时重,未行特殊治疗。于1968年因肿痛加剧在当地县医院行第一次手术摘除肿物,术后症状哲时缓解。以后又因肿痛加剧先后于1972年、1978年,行局部“肿块”切除。当地医院的病理诊断为“淋巴肉瘤”。于1980年11月份再次手术后左小腿肿胀加重,创面溃烂出血。入我院前二天创口出血量增多且不止。体检:P106次,BP80/50,重病容,贫 Patient, female, 47 years old (hospital number 63847). Chief complaint: Left calf swelling and pain for more than 20 years, ulcerated for months. The patient had swelling and pain in his left calf from 25 or 6 years ago. He was light and heavy and he did not receive any special treatment. In 1968, the tumor was exacerbated at the local county hospital for the first time because of swelling and pain. The symptoms were relieved after the operation. Later, due to swelling and pain intensified successively in 1972 and 1978, a partial “massectomy” was performed. The pathological diagnosis of the local hospital was “lymphosarcoma”. After reoperation in November 1980, the left calf was swollen and the wound ulcerated. In the two days before entering our hospital, the amount of bleeding in the wound increased and did not stop. Physical examination: P106, BP80/50, severe illness, poor