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患者,女,26岁,住院号1031127。因发现下腹部包块伴腹痛2月入院。既往有“痛经史”,近5个月来出现月经紊乱,在当地医院B超诊断为“巧克力囊肿”。查体:重病容,消瘦,表情痛苦,体温38℃,腹部稍膨隆,触及如孕5月大小之包块,包块占据整个下腹部,上缘达脐水平,囊性,表面光滑,活动欠佳,轻压痛。妇查:阴道有暗红色血,宫颈血染,无举痛,宫体触不清,包块占据整个盆腔,活动差,双侧附件触不清。1995年10月14日在我科B超检查:下腹部探及一巨大的混合性包块回声,上界达脐水平,左右径约145毫米,前后径115毫米,有包膜,包膜厚薄不
Patient, female, 26 years old, hospital number 1031127. Because of the discovery of abdominal mass with abdominal pain in February hospitalization. Previously, “history of dysmenorrhea”, menstrual disorders occurred in the past 5 months, B-ultrasound in the local hospital diagnosed as “chocolate cyst.” Physical examination: severe disease, weight loss, facial expression pain, body temperature 38 ℃, the abdomen slightly bulging, reaching the size of pregnancy, such as mass in May mass, the mass occupies the entire lower abdomen, the upper edge of umbilical level, cystic, smooth surface, Good, light tenderness. Women: vaginal dark red blood, cervical blood stained, no pain, Palace touch, mass occupy the pelvic cavity, poor activity, bilateral attachment touch. October 14, 1995 B-ultrasound in our department: exploration of the lower abdomen and a huge mixed mass echoes, the upper bound of the umbilical level, about 145 mm diameter, anteroposterior diameter of 115 mm, a capsule, capsule thickness Do not