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患者女,45岁。因腹痛2年、下腹部包块6个月迅速增大12天入院。既往月经正常,末次月经1998年2月12日。孕4产4。体检:T 37.8℃,P 96次/分,BP 16/10kPa,神清,消瘦,痛苦病容,皮肤无黄疸,全身残表淋巴结无肿大,心肺无异常。下腹部稍隆,肝脾未触及。全下腹压痛、反跳痛,移动性浊音(+),肠鸣音弱。妇科检查:阴道通畅无结节,宫颈Ⅲ°糜烂,子宫大小正常。右侧附件区触及一儿头大的肿物,界清,囊实性,活动稍差。B超揭示:右肾中度积水,盆腔实质性肿块。入院第2天行剖腹探查术,术中见深黄色腹腔液约600ml,右侧卵巢肿物12cm
Female patient, 45 years old. Due to abdominal pain for 2 years, the lower abdomen mass rapidly increased 6 months admitted to hospital for 12 months. Past menstrual normal, the last menstrual February 12, 1998. 4 pregnant 4. Physical examination: T 37.8 ℃, P 96 beats / min, BP 16 / 10kPa, Shen Qing, weight loss, pain and disease, skin jaundice, systemic residual disease no lymph nodes, no abnormal heart and lung. Lower abdomen slightly longer, liver and spleen not touched. Full abdominal tenderness, rebound tenderness, mobility dullness (+), bowel sounds weak. Gynecological examination: no vaginal nodules, cervical Ⅲ ° erosion, normal uterine size. Accessory area on the right touch a big tumor in the head, the world clear, cystic solidity, activities slightly worse. B-revealed: moderate hydronephrosis, pelvic substantive mass. On the second day of admission, a laparotomy was performed. During the operation, about 600 ml of deep yellow peritoneal fluid and 12 cm of the right ovarian tumor