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患者65岁,住院号178787。于1987年5月30日入院。查体:T36.5℃,P96次/分,Bp19/12kPa。胸廓对称,于右腋中线及肩胛线第八肋间叩之实音,呼吸音减弱。腹部膨隆,移动性浊音(+),于脐耻间可扣及约儿头大小之包块,质硬,活动好,无压痛,测量腹围116cm。妇科检查:宫颈光滑,子宫前上方可扪及实质性包块,约儿头大呈球形,表面光滑,部分呈结节突出。实验室检查:血、尿常规及肝功无异常,胸水:李凡他试验阴性,LDH 16lU,蛋白定量47g/L。胸片:右肺底积液,B超提示:①盆腔实质性肿物(卵巢瘤可能性大)。②腹水,于1987年6月5日行剖腹探查术,放出淡黄色澄清腹
Patient 65 years old, hospital number 178787. On May 30, 1987 admitted. Physical examination: T36.5 ℃, P96 beats / min, Bp19 / 12kPa. Thoracic symmetry, in the right axillary line and scapular eighth intercostal real tapping sound, decreased respiratory sounds. Abdominal bulge, mobility dullness (+), between the umbilical shame can buckle and about the size of the child head mass, hard, good activity, no tenderness, abdominal measurement 116cm. Gynecological examination: Cervical smooth, above the uterus palpable substantive mass, about spherical head large, smooth surface, some were prominent nodules. Laboratory tests: blood, urine and liver no abnormalities, pleural effusion: Li where he tested negative, LDH 16lU, protein 47g / L. Chest radiograph: right lung empyema, B-Tip: ① pelvic substantive tumor (ovarian tumor is likely). ② ascites, on June 5, 1987 laparotomy exploration, the release of pale yellow clear abdomen