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患者张××,38岁,土家族。因下腹部包块伴疼痛,发热10个月于1988年10月26日入院。患者自诉10个月前在当地卫生所取环后,下腹部疼痛,当时认为是正常现象,未加重视。以后下腹部呈隐痛状态,月经期及重体力劳动后加重,休息后可缓解。从今年6月份开始,下腹部包块逐渐增大,自摸约鸭蛋大小。加之月经不规则,经量增多,为暗红色,时有血块流出。病情逐日加重,体质渐渐衰退,经当地医疗单位应用中西医结合办法治疗无效,故来本院以腹部包块收住外科治疗。既往无肝炎,结核及过敏病史。查体:体温38℃,脉搏120次/分,呼吸32次/分,血压110/74毫米汞柱(14.7/9.9 kPa)。发育中等,营
Zhang × × patients, 38-year-old Tujia. Due to lower abdominal mass with pain, fever 10 months in October 26, 1988 admission. Patient complained about the lower abdomen pain after taking a ring at a local health clinic 10 months ago, when it was considered normal and not emphasized. After the lower abdomen was pain state, menstrual period and heavy physical labor increased, rest can be alleviated. Starting from June this year, the lower abdomen mass gradually increased since the size of about duck. Coupled with irregular menstruation, by the amount increased, dark red, sometimes blood clots outflow. The condition is aggravating day by day, and the constitution gradually declines. After the treatment by the local medical units using the combination of Chinese and Western medicines is invalid, the hospital treats the surgically treated abdominal mass. No past history of hepatitis, tuberculosis and allergies. Examination: body temperature 38 ℃, pulse 120 beats / min, breathing 32 beats / min, blood pressure 110/74 mm Hg (14.7 / 9.9 kPa). Medium development, camp