论文部分内容阅读
病历摘要【例1】顾×,住院号1149177。女,44岁,妊2产2,末次生产18年前。因疑卵巢癌于1982年5月5日来我院就诊,患者2个月前,因左侧腹股沟淋巴结肿大到某医院作妇科检查,发现子宫后方有5×3×2厘米包块,疑卵巢癌嘱住院手术。患者又去另一医院作直肠镜检查,直肠未见异常,因未确诊,乃来我院检查。既往健康,月经正常,从无痛经,过去史无特殊。体格检查营养发育好,血压120/80毫米汞柱,脉搏80/分,心肺正常,腹软,肝脾未触及。盆腔检查:子宫颈光滑,子宫正常大小,中位;子宫骶骨韧带上有1厘米直径大小结节一个,能活动。子宫右后方有2.5×3厘米结节,稍能推动,有轻触痛。另外有几个小结节与子宫及宫颈相连,拟诊为子宫内膜异位症。各项实验室检查均正常。
Medical records [Example 1] Gu ×, hospital number 1149177. Female, 44 years old, pregnant and 2 producing 2, the last production 18 years ago. Due to suspected ovarian cancer came to our hospital on May 5, 1982, 2 months ago, due to enlargement of the left inguinal lymph nodes to a hospital for gynecological examination found that the uterus behind 5 × 3 × 2 cm mass, suspected Ovarian cancer hospitalized surgery. Patients went to another hospital for rectal examination, no abnormality of the rectum, because no diagnosis, but to our hospital examination. Past health, normal menstruation, from no dysmenorrhea, the past no special history. Physical examination Good nutritional development, blood pressure 120/80 mm Hg, pulse 80 / points, normal cardiopulmonary, abdominal soft, liver and spleen not touched. Pelvic examination: the cervix is smooth, the normal size of the uterus, the median; uterus sacral ligaments 1 cm in diameter size of a nodule, able to move. Right rear uterine 2.5 × 3 cm nodules, a little push, a touch of pain. In addition there are several small nodules connected with the uterus and cervix, to be diagnosed as endometriosis. Various laboratory tests are normal.