论文部分内容阅读
周某,41岁.孕产史:4-0-2-4.末次产12年前.以往月经规律.因不规则阴道流血10月,加重15天,伴乏力头晕7天,于1988年4月24日入院.查体:T36.3℃、P80次/分,BP13.0/9.OkPa,贫血貌,全身表浅淋巴结无明显肿大.心、肺听诊(一).PV:外阴血迹,阴道壁软.宫颈外日见一肿物,3cm×4cm×3cm,分叶状,色鲜红,表面有血性渗出,味臭、质硬.肿物蒂伸人颈管,蒂直径约2cm,基底部位于颈管后壁.宫口扩张.因肿物而影响窥视宫颈.子宫平位,略大、质中等,光滑、活动可.双侧附件(一).
Zhou, 41 years old. Pregnancy history: 4-0-2-4. Last birth 12 years ago. Previous menstrual irregularities due to irregular vaginal bleeding in October, increased 15 days, with fatigue, dizziness, 7 days in 1988, 4 On the 24th admission. Examination: T36.3 ℃, P80 beats / min, BP13.0 / 9.OkPa, anemia appearance, superficial lymph nodes without obvious enlargement. Heart, lung auscultation (A) .PV: , Vaginal wall soft. Cervical foreign body see a tumor, 3cm × 4cm × 3cm, lobulated, bright red, the surface bloody exudation, smell stinky, hard. Tectoral pedicle stretch neck, pedicle diameter of about 2cm The basal part is located in the posterior wall of the cervical canal, the cervix is dilated, the cervical spine is affected by the tumor, and the uterus is slightly flattened with medium, smooth and movable features.