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患者王某,未婚,25岁,因下腹部包块8个月,近1个月肿物增长迅速伴消瘦于1991—09—02以巨大卵巢囊肿入院。患者既往健康,17岁月经初潮,检查:一般状态尚好,消瘦外观,血压16/11kPa,心肺(一),腹部膨隆,囊肿占居整个腹腔,上界达剑突肋弓,下界越盆腔,张力大,明显活动受限,无压痛,移动性浊音(一)。妇科检查肛查:外阴发育正常,未产型,后穹窿饱满,子宫由于肿囊占居整个腹腔,触不清,考虑巨大卵巢囊肿。实验室检查:AFP琼脂双向扩散阴性,对流免疫电泳阴性。B超提示:由剑突下至耻骨联合可探及一巨大囊性暗区边缘清楚,考虑巨大卵巢囊肿。9月9日在硬膜下行剖腹探查术,打开腹腔,无腹水,囊肿占居整个腹腔,表面灰白色,光滑,缓慢取出肿物,见双侧输卵管,卵巢正常,左侧卵巢冠囊肿,子宫正常大
Patient Wang, unmarried, 25 years old, due to the lower abdomen mass 8 months, nearly 1 month rapid increase of the tumor with weight loss in 1991-09-02 with a huge ovarian cyst admission. Patients with past health, 17 years of menarche, check: the general state is still good, thin appearance, blood pressure 16 / 11kPa, cardiopulmonary (a), abdominal bulging, cysts occupy the entire abdominal cavity, Large, obviously limited activity, no tenderness, dullness of mobility (A). Gynecological examination Anal examination: normal vulva development, non-production type, after the fornix full, the uterus due to swollen capsule occupy the entire abdominal cavity, palpable, consider a huge ovarian cyst. Laboratory tests: AFP agar two-way diffusion negative, convective immuno-negative. B-Tip: From the xiphoid to the pubic symphysis can explore and a huge cystic dark zone clear edge, consider a huge ovarian cyst. September 9 in the subdural laparotomy exploration, open the abdominal cavity, no ascites, cysts occupy the entire abdominal cavity, the surface gray, smooth, slowly remove the tumor, see bilateral fallopian tubes, normal ovary, left ovarian crown cysts, normal uterus Big