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患者26岁,因停经78天,阴道不规则出血30天,突发腹痛1天入院。既往体健,平时月经规则。生育:0-0-2-0,末次人流在半年前。无宫外孕和葡萄胎史。入院查体:T36.8℃,P80次/分,R19次/分,BP15/10kPa。心肺检查无异常。腹软,肝脾肋下未及,下腹压痛明显,反跳痛(+),移动性浊音(±)。妇科检查:外阴未产式,阴道无异常,宫颈轻糜,举痛(+),子宫前位,偏大,左宫角处可触及肿块,约4×5×5cm~3大小,压痛明显,与子宫分不开,
The patient was 26 years old, had 78 days of menopause, had irregular vaginal bleeding for 30 days, and had sudden abdominal pain for 1 day. Past physical health, usually menstrual rules. Fertility: 0-0-2-0, the last flow in six months ago. No history of ectopic pregnancy and hydatidiform mole. Admission examination: T36.8 ℃, P80 beats / min, R19 beats / min, BP15 / 10kPa. No abnormal heart and lung examination. Abdominal soft, liver and spleen suboptimal, abdominal tenderness significantly, rebound tenderness (+), mobility dullness (±). Gynecological examination: genital unproductive, vaginal abnormalities, cervical Mi, lifting pain (+), the anterior uterus, large, accessible to the left corner of the tumor, about 4 × 5 × 5cm ~ 3 size, tenderness significantly, Inseparable from the uterus