论文部分内容阅读
患者女性,19岁,未婚,哈萨克族牧民,即往体健。1987年11月6日,患者在我科门诊检查时发现腹部有一包块,但无任何不适。1988年5月下旬出现下腹部阵发性胀痛,排尿困难,在再次就珍时,以子宫肌瘤、卵巢肿瘤、盆腔包虫病待排收住院。 查体:体温37.2C,脉搏88次/分,呼吸21次/分,血压14.6/12kPa,一般情况佳,心肺未见异常,腹部隆起,柔软,在脐下3指处可扪及一包块,有轻微触痛,肝脾未触及。肛查:宫颈短,偏左,盆腔内可触及一14×12×9cm~3的包块,表面光滑,部分有囊性感,与子宫粘连在一起,活动度差,有轻微触痛,附件不清。化验检查:血红蛋白97g/L,白细胞计数7.
Female patient, 19 years old, unmarried, Kazakh herdsmen, that is, physical health. November 6, 1987, the patient found in my clinic outpatient examination has a mass of the abdomen, but without any discomfort. May 1988 appeared in the lower abdomen paroxysmal pain, dysuria, once again to Jane, to uterine fibroids, ovarian tumors, pelvic echinococcosis to be discharged admitted to hospital. Physical examination: body temperature 37.2C, pulse 88 beats / min, breathing 21 beats / min, blood pressure 14.6 / 12kPa, the general situation is good, no abnormal heart and lungs, abdominal bulge, soft, , A slight tenderness, liver and spleen not touched. Anal examination: cervical short, left, pelvic touches a 14 × 12 × 9cm ~ 3 mass, the surface is smooth, some cystic sexy, adhesions with the uterus, poor activity, a slight tenderness, the attachment is not clear. Laboratory tests: hemoglobin 97g / L, white blood cell count 7.