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患者45岁,孕7产6。因腹部包块逐渐增大伴坠痛3年,于1993年11月15日以巨大卵巢囊肿的诊断收住院。3年前偶然发现下腹部有一手拳大小的包块、活动、无明显腹痛,近1年来包块增大迅速,充满腹腔、伴心悸、胸闷及腹坠痛。月经无改变。查体:体温36℃,脉搏88次/分,呼吸22次/分,血压15/10kPa,发育及营养中等,心、肺(一),腹部膨隆,似足月妊娠,包块占据整个腹腔,有囊性感,表面光滑,轻压痛,全腹叩浊,两侧腋前线叩鼓,无移动性浊音。妇科检查:外阴无异常、阴道通畅,宫颈光滑,子宫前位,偏左,正常大小。盆腹腔被一巨大肿物占据,有囊性感、右附件区饱满,凸凹不平。血、尿常规检查均正常。B超提示盆腹腔囊性占位包块。胃肠X线钡剂透视示肠管受压,肠腔粘膜正常。
The patient is 45 years old and has 7 pregnancies. As the abdomen mass gradually increases with falling pain for 3 years, on November 15, 1993 with a huge ovarian cyst diagnosis admitted to hospital. 3 years ago, I found a hand in the lower abdomen box size of the mass, activities, no obvious abdominal pain, mass rapid increase over the past year, full of abdominal, palpitations, chest tightness and abdominal pain. Menstruation no change. Physical examination: body temperature 36 ℃, pulse 88 beats / min, breathing 22 beats / min, blood pressure 15 / 10kPa, development and nutrition, heart and lung (a), abdominal bulging, like full-term pregnancy, A cystic sexy, smooth surface, light tenderness, the entire abdominal knock turbidity, both sides of the axillary line percussion drum, no dullness of mobility. Gynecological examination: no abnormal vulva, vaginal patency, smooth cervix, uterine anterior, left, normal size. Abdominal cavity was occupied by a huge tumor, a cystic sexy, right attachment area full, rugged. Blood, urine routine examination were normal. B-Tip celiac cystic mass package. Gastrointestinal barium X-ray showed intestinal compression, normal intestinal mucosa.