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患者女29岁,孕3产2;主因停经4月余,下腹部包块逐渐长大,伴疼痛,于1984年12月13日入院。患者停经45天时,行人工流产,术后无阴道出血,20天后突感下腹剧痛,面色苍白,大汗淋漓,有便意感,经治疼痛缓解,后触及包块并逐渐长大。查体:T36℃,P60次/分,R16次/分,BP120/80mmHg,神清,头颅五官正常,心肺肝脾无异常,右下腹触及20×17cm 肿物,表面不光滑,质地硬,活动差,叩诊实音。妇科检查:外阴已产式,后穹隆饱满,宫颈紫色,无举痛,宫体前
The patient was 29 years old, pregnant and 3 producing 2; the main cause of menopause more than 4 months, the lower abdomen mass gradually grew up with pain, on December 13, 1984 admitted. Patients with menopause 45 days, abortion abortion, no postoperative vaginal bleeding, 20 days after the sudden sensation of abdominal pain, pale, sweating, a sense of meaning, relieve pain after treatment, after touching the mass and gradually grow up. Examination: T36 ℃, P60 beats / min, R16 beats / min, BP120 / 80mmHg, Shen Qing, normal facial skull, liver and spleen without abnormal heart and right lower quadrant touching 20 × 17cm tumor, the surface is not smooth, hard texture, activity Poor, percussion real sound. Gynecological examination: vulva has been produced, after the full dome, cervical purple, no pain, palace