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患者,女,50岁,农民。因阴道出血20天,右下肢胀痛,张口受限1天于1996年10月21日入院。既往月经17(4-5)/29d.规律,量中等,无痛经,白带不多。孕4产4,无人流、置节育环史。6个月前普查B超提示子宫肌瘤。否认近2月皮肤破损史。20天前月经来潮,经量增多,每日出血10～80ml,伴凝血块,因农忙未治。多次使用不洁月经垫及行会阴区盆浴。1天前右下肢胀痛麻木,屈髋屈膝费力,继之张口受限,饮水呛咳,伴心悸、头昏、乏力。T36.5 ℃,R22/min,P100/min,BP17/10kPa。神志清,面色苍白,皮肤潮湿,无皮损、出血点。口裂,牙关间隙变小,咀嚼肌张
Patient, female, 50 years old, farmer. Due to vaginal bleeding for 20 days, the right lower limb pain, limited mouth open 1 day in October 21, 1996 admission. Previous menstruation 17 (4-5) / 29d. Law, the amount of moderate, no dysmenorrhea, vaginal discharge is not much. Pregnant 4 4, no one flow, homeopathic ring history. 6 months ago census ultrasound B-fibroids. Denied the history of skin lesions in recent February. 20 days ago menstrual cramps, the amount increased, the daily bleeding 10 ~ 80ml, with coagulation, due to busy farming. Repeated use of dirty menstrual pads and perineum basin bath. Right lower extremity pain and numbness 1 day ago, flexion and hip flexion knees, followed by a limited mouth, cough, palpitations, dizziness, fatigue. T36.5 ° C, R22 / min, P100 / min, BP17 / 10kPa. Conscious, pale, moist skin, no skin lesions, bleeding points. Mouth crack, teeth gap smaller, chewing muscle Zhang