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患者女,60岁,病案号074847。盆腔肿物二年,下腹部疼痛伴恶心,呕吐一周,于1985年7月26日入院。1983年7月发现右下腹有鸡卵大肿物,活动可达脐旁。1985年7月19日晨突感下腹剧痛及肛门坠感,恶心呕吐数次。卧床后未见缓解,转为持续性腹痛,阵发加剧,尤以进食后为甚。查体:T38.5℃,P84次/分,Bp90/50mmHg。心肺正常,肝脾不大,下腹膨隆、肌紧张,脐下触及新生儿头大之肿物,压痛明显,无移动浊音,肠音正常。妇检:盆腔中央可触及新生儿头大囊性肿物,与子宫粘连,表面不平,软硬不均,活动差,触痛明显。B超所见:子宫后倾,3.7×1.5cm,其前方为一囊实混合肿物14.5×9.7cm,可见多个不规则的液性暗区。血沉:第1小时86mm。第2小时138mm。初步诊断:卵巢肿瘤蒂扭转。
Female patient, 60 years old, medical record number 074847. Pelvic masses for two years, lower abdominal pain with nausea, vomiting for a week, on July 26, 1985 admitted. July 1983 found that the right lower quadrant with large eggs and eggs, activities up to the umbilical next to. July 19, 1985 morning sudden sensation of lower abdomen pain and anal fall, nausea and vomiting several times. No relief after bedridden, into persistent abdominal pain, paroxysmal aggravate, especially after eating even. Physical examination: T38.5 ℃, P84 times / min, Bp90 / 50mmHg. Normal heart and lung, liver and spleen, bulging lower abdomen, muscle tension, touch the newborn under the umbilical big head of the tumor, tenderness, no moving dullness, normal bowel sounds. Gynecological examination: pelvic central palpable neonatal head large cystic mass, adhesions with the uterus, uneven surface, uneven hardness, poor activity, tenderness significantly. B seen: Uterine lean, 3.7 × 1.5cm, in front of a cyst mixed mass 14.5 × 9.7cm, showing a number of irregular liquid dark area. ESR: first hour 86mm. The first two hours 138mm. Initial diagnosis: torsion of ovarian tumors.