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患者女,21岁,因腹部肿块于1983年4月5日入院。入院前20天发现腹部肿块,并增大迅速,觉腹胀,饮食减少、3天来已不能进食,行走困难,气急,不能平卧。患者停经4个多月,末次月经1982年11月25日。18岁月经初潮(5/(30-35))。20岁结婚,为第一次妊娠。检查:一般情况差,消瘦,体温37℃,脉搏102次,呼吸26次,血压100/60mmHg。腹部明显隆起,无腹壁静脉怒张,于腹部可触到一巨大肿块、质硬、
The patient, female, 21 years old, was admitted to the hospital on April 5, 1983, due to abdominal mass. 20 days before admission found abdominal mass, and increased rapidly, feeling bloating, diet to reduce the 3 days have been unable to eat, walking difficulties, shortness of breath, can not lie down. Patients with menopause more than 4 months, the last menstrual November 25, 1982. 18 years of menarche (5 / (30-35)). 20-year-old married for the first pregnancy. Check: poor general condition, weight loss, body temperature 37 ℃, pulse 102 times, breathing 26 times, blood pressure 100 / 60mmHg. Significant abdomen bulge, no abdominal vein, in the abdomen can reach a huge mass, hard,