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患者女,34岁。主因左腹部疼痛4月就诊。患者出生时仅发现四肢软,至4~5岁仍不会行走·身材矮小,智力如常人。月经23(?),量少。26岁结婚。3年前剖腹产一1400g 女婴,仅存活11天,同时行输卵管结扎术。父、母、一姐、一弟仍健。父母非近亲结婚,家族三代无类似病人。查体:神智清,智力佳,口齿伶俐。体重19kg,身高79cm,上身52cm,下身27cm。指距90cm。头围56cm,胸围65cm。前额突出,下颌宽大前突。心、肺(一)。腹部有手术疤痕,肝脾未及。左下腹可扪及一蚕豆大小肿物,压痛。臀部后突,
Female patient, 34 years old. Main due to left abdominal pain in April treatment. The patient was found to have only soft limbs at birth, and would not walk until 4 to 5 years of age. Short stature and intelligence were normal. Menstruation 23 (?), Less. 26 years old married. 3 years ago, a caesarean section of 1400g baby girl, survived only 11 days, while tubal ligation. Father, mother, sister, brother is still healthy. Parents are married to non-relatives and have no similar family members for three generations. Physical examination: God clear, good intelligence, articulate. Weight 19kg, height 79cm, upper body 52cm, lower body 27cm. Finger distance 90cm. Head circumference 56cm, chest circumference 65cm. Prominent forehead, jaw wide anterior process. Heart, lung (a). Abdominal surgical scars, liver and spleen not yet. The lower left abdomen palpable with a broad bean mass, tenderness. Hips kyphosis,