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例1 社会性别女,24岁,汉族,未婚,农民。因从小至今无月经于1991年11月26日入院。入院前1年曾在某医院就诊,行人工周期治疗1疗程无月经来潮。患者承认有性交史。家庭中同胞姐妹8人均无类似病史。检查:体重49kg,身高167cm。女性瘦长体型,精神佳,营养发育中等。面部红润,皮肤光滑,汗毛及腋毛稀少,无胡顽及喉结,双侧乳房发育良好,心肺(-),腹部平软,肝脾未扪及。妇检:外阴无阴毛,大小阴唇发育差,阴蒂大小正常。处女膜孔松。阴道长度8cm,顶端未见宫颈。盆底可触及一5cm×4cm×3cm实性包块,活动度好,可向下推至腹股沟,站立时左侧腹股沟膨隆,右侧未触及包块。血睾酮>200nmol/L,血FSH5μg/L,LH48.1IU/L,B超报告:幼稚子宫。染色体核型为46XY。于1992
Example 1 Gender Female, 24 years old, Han nationality, single, farmer. Because no childhood menstruation since November 26, 1991 admission. 1 year prior to admission to a hospital for treatment, the line of artificial cycle treatment 1 menstrual cramps. Patient admitted having a history of intercourse. Eight siblings in the family had no similar medical history. Check: weight 49kg, height 167cm. Female slender body, good spirit, nutrition and development of medium. Ruddy face, smooth skin, sparse hair and armpit hair, no stubble and Adam’s apple, bilateral breast well-developed, cardiopulmonary (-), abdominal soft, liver and spleen not palpable. Maternal seizure: no vulva pubic hair, poor labia size development, normal clitoris size. Hymen Kong Song. Vaginal length 8cm, the top no cervix. Pelvic floor can reach a 5cm × 4cm × 3cm solid mass, good mobility, can be pushed down to the groin, standing on the left groin bulge, the right side of the mass is not touched. Blood testosterone> 200nmol / L, blood FSH5μg / L, LH48.1IU / L, B ultrasound report: childish uterus. Chromosomal karyotype 46XY. In 1992