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患者,女,47岁。因经期延长4年、下腹坠胀逐渐加重4月,于1989年4月11日入院。既往身体健康月经正常,孕6产6。体检:体温36.3℃、脉搏79次,呼吸24次、血压17.3/12kPa。神清,消瘦,贫血貌。心音正常,律整。右下肺呼吸音稍弱,语顿稍强。腹部膨隆、软,大量腹水征,肝脾未触及。下肢无水肿。妇科检查:外阴、阴道正常,宫颈轻度糜烂,子宫后位略小,右侧附伴区触及表面光滑肿物,直径约
Patient, female, 47 years old. Due to prolonged menstrual period of 4 years, abdominal bulge gradually increased in April, on April 11, 1989 admission. Past normal menstruation, pregnancy 6 6. Physical examination: body temperature 36.3 ℃, pulse 79 times, breathing 24 times, blood pressure 17.3 / 12kPa. God clear, weight loss, anemia appearance. Heart sounds normal, rhythm. Lower right lung breath sounds weaker, slightly stronger language. Abdominal bulging, soft, massive ascites sign, liver and spleen not touched. Lower extremity without edema. Gynecological examination: normal vulva, vagina, mild erosion of the cervix, the posterior uterine position is slightly smaller, the right side of the appendage touching smooth surface of the tumor, the diameter of about