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1病历摘要女,62岁。主因绝经12 a,阴道少量出血3 d,发现盆腔肿物1 d,于2010-06-14入院。查体:T 36.5℃,P 84次/min,R20次/min,BP 130/80 mm Hg,一般情况好,心肺无异常,腹软无压痛,未触及明显包块,叩诊呈鼓音,肠鸣音正常存在。阴道检查:经产外阴,阴道通常,黏膜无充血及出血点,宫颈萎缩,子宫略小于正常,于子宫左上方可触及一约
1 medical record summary female, 62 years old. The main cause of menopause 12 a, a small amount of vaginal bleeding 3 d, found pelvic mass 1 d, admitted on June 6, 2010. Examination: T 36.5 ℃, P 84 times / min, R 20 times / min, BP 130/80 mm Hg, the general situation is good, no abnormal heart and lung, abdominal tenderness without tenderness, did not reach the obvious mass, The beep normally exists. Vaginal examination: the production of the vulva, vagina usually mucosa without congestion and bleeding, cervical atrophy, the uterus slightly less than normal, the upper left uterus can reach about a