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患者,女,44岁,已婚,以“月经增多伴经期延长1年”入院。入院前1年无明显诱因出现月经量增多,伴经期延长,周期缩短。查体:体温36.3℃,脉搏80min-1,呼吸17min-1,血压120mmHg/80mmHg,妇科检查:阴道畅,见少量暗红色分泌物,黏膜无充血;宫颈肥大,Ⅱ度糜烂,有纳囊,触征阳性;子宫中位,如孕2月余大小,质硬,外形不规则,后壁突起,无压痛。宫腔镜检查示:子宫肌瘤合并慢性宫颈炎。入院后采阴道及宫颈拭子进行细菌培养,宫颈拭子在血琼脂平板上出
The patient, female, 44 years old, married to “menstruation increased with menstrual extended 1 year ” admitted. One year before admission there is no obvious incentive to increase the amount of menstruation, with prolonged menstrual cycle shortened. Examination: body temperature 36.3 ℃, pulse 80min-1, breathing 17min-1, blood pressure 120mmHg / 80mmHg, gynecological examination: vaginal Chang, see a small amount of dark red secretions mucosa without congestion; cervical hypertrophy, Ⅱ degree erosion, Touch positive; uterus, such as the size of more than 2 months pregnant, hard, irregular shape, protruding posterior wall, no tenderness. Hysteroscopy showed: uterine fibroids with chronic cervicitis. After admission, vaginal and cervical swabs were collected for bacterial culture, and cervical swabs were collected on a blood agar plate