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患者,女,55岁,住院号75899,耻骨都包块逐渐增大12年,初起鸽蛋大小,无发热疼痛不适,近年增大显著,伴有坠痛,影响大小便,要求手术治疗而入院。检查:慢性病容,贫血清瘦,血压190/130,耻骨部可见大小约20×25×25cm~3包块,皮肤色正常,表面光滑,质韧,蒂宽约10×3cm,无血管杂音,透光试验阴性。化验检查:红细胞272万,血红蛋白8g,白细胞4100,中性75％。心电图示:左心室肥大伴劳损。胸透示:主动脉结增大,左心室肥大。肿瘤摄片:一片巨大致密阴影,未发现不透光区。术前诊断:耻骨部区大肿瘤(性质待查)。
The patient, female, 55 years old, hospital number 75899, pubic bone mass gradually increased 12 years, the size of the pigeon eggs from the beginning, no fever, pain and discomfort, increased significantly in recent years, accompanied by falling pain, affecting the urine, requiring surgery and treatment Admitted to hospital. Check: chronic disease, poor serum, blood pressure 190/130, pubic bone visible about the size of 20 × 25 × 25cm ~ 3 mass, skin color is normal, smooth surface, tough quality, pedicle width of about 10 × 3cm, no vascular noise, through Negative light test. Laboratory tests: 2.72 million RBCs, 8 g hemoglobin, 4100 WBC, and 75% neutral. Electrocardiogram icon: Left ventricular hypertrophy with strain. Chest showed: aortic node enlargement, left ventricular hypertrophy. Photographs of the tumor: a huge dense shadow, no opaque areas were found. Preoperative diagnosis: Large tumors in the pubic region (nature, unknown).