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患者43岁,孕6产5。腹部包块4年,近一周腹胀腹痛,诊断为卵巢肿瘤恶性变,于1985年8月20日收入院。患者于4年前发现下腹部肿块如手拳大小,无何不适感,月经周期较前缩短,经期持续时间延长,约8～9天,血量稍多,近半年腹部肿块增大迅速,伴心慌、气短,不能平卧。检查:一般状态正常,平卧呼吸急促,BP110/70mmHg,T37.2C,P102次/分。腹部膨隆如足月妊娠大小,压痛明显,以右中腹为著。妇科检查:外阴经产型,宫颈被挤压到耻骨弓后,难以暴露,肿瘤下极向阴道穹隆部突出。并充
The patient is 43 years old and has 6 pregnancies. Abdominal mass 4 years, abdominal pain in the past week, diagnosed as malignant ovarian tumors, on August 20, 1985 income hospital. 4 years ago, patients found lower abdominal mass such as hand punch size, no discomfort, shorter menstrual cycle, menstrual duration, about 8 to 9 days, a little more blood, abercrombie and fitch, nearly six months abdominal mass increased rapidly, with Flustered, shortness of breath, can not lie down. Check: The general state of normal, supine shortness of breath, BP110 / 70mmHg, T37.2C, P102 times / min. Abdominal bulging, such as full-term pregnancy size, tenderness evident to the right middle abdomen. Gynecological examination: vulvar by the type of production, the cervix is squeezed into the pubic arch, it is difficult to expose the tumor under the vaginal dome prominent. And charge