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患者,21岁,农民。因闭经、腹痛、下腹包块6个月,突发腹部剧痛2天,以“消化道穿孔、急性腹膜炎、妊娠6个月”急诊入外科。该患者19岁结婚,1孕1产,发病时为产后8个月。产后1月
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患者,21岁,农民。因闭经、腹痛、下腹包块6个月,突发腹部剧痛2天,以“消化道穿孔、急性腹膜炎、妊娠6个月”急诊入外科。该患者19岁结婚,1孕1产,发病时为产后8个月。产后1月余曾月经来潮1次,此后闭经。自闭经起自觉下腹隐痛,并触及逐渐增大的实性包块,伴有食欲减退、消瘦、腹胀、
Patient, 21 years old, farmer. Due to amenorrhea, abdominal pain, abdominal mass 6 months, sudden abdominal pain for 2 days, “gastrointestinal perforation, acute peritonitis, 6 months of pregnancy,” emergency surgery. The patient was married at 19 years of age, 1 pregnancy and 1 birth, the onset of postpartum for 8 months. More than one month after childbirth has menstrual cramps 1, since amenorrhea. Amenorrhoea conscientiously lower abdominal pain, and gradually increase the impact of solid mass, accompanied by loss of appetite, weight loss, bloating,
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