患者张××,75岁,已婚。绝经26年,因阴道排出大量脓性液4天伴恶臭味入院。入院前1周曾腹泻,经治疗已愈,近4天无发热、寒战,食欲欠佳。阴道内排大量脓性液体,如排尿样,味极臭,将棉被透湿,仅感双腰部隐痛不适,无腹部疼痛,无阴道流血,大小便正常。体检:体温、脉搏正常,血压正常,心肺无异常,腹软,于脐下4指处可 Zhang × × patients, 75 years old, married. Menopause 26 years, due to the vaginal discharge of a large number of purulent fluid with malodour 4 days admission. One week before admission, he had diarrhea. After treatment, healed. There was no fever, chills and poor appetite in the past 4 days. Vaginal discharge a large number of purulent liquid, such as voiding, smell very stinky, the quilt will be wet, only sense of double waist pain and discomfort, no abdominal pain, no vaginal bleeding, normal urine. Physical examination: body temperature, normal pulse, normal blood pressure, no abnormal heart and lung, abdominal soft, under the umbilical 4 means