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患者,女,22岁,已婚,未孕。因阴道脱出一巨大肿物伴有下腹剧痛3h急症入院。患者月经量明显增多,周期缩短并进行性贫血1年余,近4个月为持续性不规则阴道流血,量时多时少。流脓血性白带半月,味臭。入院前11d阴道内脱出一肿物,可见部分约鸡蛋大,下腹部扪及肿物如拳头大。当地医院诊为妊娠并子宫脱垂未予处理。入院当天上午患者感觉下腹部一阵剧痛后明道脱出一儿头大肿物,伴有大量阴道流血。在县医院补液、输血因病情危重急转本院。入院查体:BP11/6kPa,T38℃,Pl20次/min,R24次/min,
Patient, female, 22 years old, married, not pregnant. Due to vaginal prolapse with a huge tumor associated with acute abdominal pain 3h admission. Patients significantly increased menstrual flow, shorten the cycle and progressive anemia more than 1 year, nearly 4 months for persistent irregular vaginal bleeding, the amount of more time less. Purulent bloody vaginal discharge half-moon, taste odor. 11d before admission, vaginal prolapse of a tumor, showing some of the eggs about the lower abdomen palpable mass such as fist. The local hospital was diagnosed with pregnancy and uterine prolapse was not treated. On the morning of admission, the patient felt a sharp pain in the lower abdomen, followed by a large bulge in the middle of the abdomen, accompanied by massive vaginal bleeding. In the county hospital rehydration, transfusion due to critically ill patients hospital. Admission examination: BP11 / 6kPa, T38 ℃, Pl20 times / min, R24 times / min,