患者李××,女65岁,以“葡萄胎清宫术后十四年,外阴肿物伴流血二十天,加重一天”为主诉急诊入院。入院后测BP9/4Kpa.P118次/分,R22次/分。面包苍白,神志清,表情淡漠,抬入病房。心律整,心率120次/分。双肺可闻及干湿罗音。肝脾未触入。妇科检查:外阴老年型。于阴道左前壁外1/3、左侧小唇上1/3、尿道口 Patient Lee × ×, female 65 years old, with “hydatidiform obstruction after fourteen years of surgery, vulvar tumor with bloodshed twenty days, aggravating the day” chief complaint emergency hospitalization. After admission measured BP9 / 4Kpa.P118 times / min, R22 times / min. Bread pale, delirious, indifferent expression, into the ward. Whole heart rhythm, heart rate 120 beats / min. Both lungs can smell wet and dry rales. Liver and spleen did not touch. Gynecological examination: genital aging. On the left anterior wall of the vagina 1/3, the left little lip on the 1/3, urethra