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【病例】患者,女,56岁。因下腹痛2 d,恶心呕吐1d,于2011年6月26日来我院就诊。行CT检查示:盆腔内占位性病变,腹盆腔大量积液。门诊拟诊断“盆腔肿物肝内多发囊肿?腹盆腔积液”收入妇科病房。查体:t36.5℃,P70次·min~(-1),R 16次·min~(-1),BP 120/70 mm Hg(1 mm Hg=0.133 kPa);神清,可平卧,腹软,下腹膨隆,可触及一包块达脐上2横指,无压痛及反跳痛,肠鸣音4次·min~(-1),移动性浊音(+)。妇科检查:子宫后方可触及一超手拳大小包
[Case] patients, female, 56 years old. Due to abdominal pain 2 d, nausea and vomiting 1d, on June 26, 2011 to our hospital. Line CT examination showed: pelvic mass lesions, a large number of pelvic fluid. Outpatient service to be diagnosed “pelvic mass intrahepatic cyst? Abdominal pelvic fluid ” income gynecological ward. Examination: t36.5 ℃, P70 times · min ~ (-1), R 16 times · min -1, BP 120/70 mm Hg (1 mm Hg = 0.133 kPa); Shen Qing can be lying , Abdominal soft, abdominal bulging, palpable mass of 2 across the umbilical cord, no tenderness and rebound tenderness, bowel sounds 4 times · min ~ (1), mobility dullness (+). Gynecological examination: the rear of the uterus can reach a handball size package