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患者女性,18岁,学生,维吾尔族。因闭经2年半,发现下腹部包块1年,长胡须及声音变钝半年入院。发病以来食欲良好,大小便正常,无消瘦、腹痛及发热。否认牛羊犬接触史。既往史无特殊病史问及。月经史:14 3/30,无痛经史。末次月经1991年6月15日。体检:身高164cm,体重52kg,体温、脉搏和血压均正常。口唇上下有浓密胡须,喉结突出。上肢汗毛正常,但两下肢有黑色粗而长的汗毛。乳房发育差。心肺(-),腹部柔软,肝脾未扪及。下腹部触及一个如5个月孕子宫大小的包块。肛诊检查:外
Patient female, 18 years old, student, Uygur. Amenorrhea for 2 years and a half, found the lower abdomen mass 1 year, long beard and voice dull for six months admitted to hospital. Since the onset of a good appetite, normal urine, no weight loss, abdominal pain and fever. Denied the history of contact with cattle and dogs. Past history no special history asked. Menstrual history: 14 3/30, no history of dysmenorrhea. The last menstruation June 15, 1991. Physical examination: height 164cm, weight 52kg, body temperature, pulse and blood pressure are normal. Thick lips above and below his beard, Adam’s apple prominent. Upper extremity hairs normal, but the two lower extremities with thick black hairs and long hair. Breast development is poor. Cardiopulmonary (-), abdomen soft, liver and spleen not palpable. The lower abdomen touches a mass of 5-month pregnant uterus. Anal examination: outside