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患者,女,49岁,住院号2113。24年前因孕3个月腹痛去医院检查而发现腹部有一包块。疑诊为妊娠合并卵巢囊肿。孕足月时住院待产未查及肿物。自然分娩一男婴。以后又相继妊娠5次,其中足月顺产3胎,人工流产2次,均未发现盆腔异常。近一年来经常出现腹隐痛感。于1984年4月3日因腹痛加重而来诊。末次月经1984年3月24日。检查:T86.7℃,P80次/分,R20次/分,BP120/80mmHg,无贫血貌。心肺无异常。腹软,肝脾未触及。右下腹可触及约卵大肿物伴有压痛,可移动。血、
Patient, female, 49 years old, hospitalized 2113. 24 years ago because of abdominal pain for 3 months to go to the hospital for examination and found a piece of abdomen. Suspected of pregnancy with ovarian cyst. Pregnancy full-term hospital for treatment did not check and mass. Natural childbirth a baby boy. After another 5 consecutive pregnancies, including full-term 3-fetus, abortion 2 times, were found in pelvic abnormalities. Abdominal pain often appear in the past year. On April 3, 1984 due to increased abdominal pain and consultation. The last menstrual March 24, 1984. Check: T86.7 ℃, P80 beats / min, R20 beats / min, BP120 / 80mmHg, no anemia appearance. No abnormal heart and lung. Abdomen soft, liver and spleen not touched. The lower right abdomen can touch the ova and enlargement accompanied by tenderness, removable. blood,