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患者50岁,G_7P_5,住院号06155。1984年7月起出现不规则阴道出血,血量逐渐增多。1987年2月初一次出血约250ml,同时阴道分泌物增多,呈脓性,有臭味。大便时可自阴道口触及一肿物,触之出血。既往健康,于1987年2月23日以“子宫粘膜下肌瘤继发贫血”之诊断入院。查体:T37.1℃,Bp100/60mmHg。贫血貌,心肺正常,腹部未触及包块。阴道内可触及鹅卵大小的带蒂肿物,蒂直径约0.5cm,长约3cm,伸至宫颈内口,肿物表面光滑,中等硬度,接触出血。化验:Hb40g/L,WBC8.8×10~9/L。入院后经阴道结扎瘤带
Patients 50 years old, G_7P_5, hospital number 06155. From July 1984 irregular vaginal bleeding, blood gradually increased. In early February 1987 bleeding about 250ml, while vaginal discharge increased, purulent, stinky. Stool may touch a tumor from the vaginal opening, touch the bleeding. Past health, in February 23, 1987 to “uterine submucous myoma secondary anemia” diagnosis and admission. Physical examination: T37.1 ℃, Bp100 / 60mmHg. Anemia appearance, normal heart and lungs, abdomen did not touch the mass. Vagina touches the size of a goose-size pedunculated mass, pedicle diameter of about 0.5cm, about 3cm, stretching to the cervix within the mouth, the tumor surface smooth, medium hardness, exposure to bleeding. Assay: Hb40g / L, WBC8.8 × 10 ~ 9 / L. After admission, vaginal zonal tumor banding