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患者,女,23岁,未婚,主因下腹隐痛10个月,加重2天,于1991年3月2日入院。既往身体健康。月经周期规律。18 4/30天,血量中等,无痛经。查体:T36.8℃,P84次/分,R20次/分,BP14/9kPa,消瘦体质神清语利,自动体位,查体合作。心肺正常,全腹平坦,肝脾未触及,下腹部有压痛,无明显反跳痛及肌紧张。下腹部未触及肿块。肠鸣音存在。肛诊:子宫体前位,常大,活动度差,无压痛,于宫体的左侧后穹窿处可触及约8cm×6cm×5cm大小的肿物,质较硬,不活动。于
The patient, female, 23 years old, was unmarried and was admitted to the hospital on March 2, 1991 due to pain in the lower abdomen for 10 months and an increase of 2 days. Past health. The regularity of the menstrual cycle. 18 4/30 days, medium blood, no pain. Physical examination: T36.8°C, P84 beats/min, R20 beats/min, BP14/9kPa, weight-loss constitution, clear language, automatic position, and physical examination. The heart and lungs were normal, the whole abdomen was flat, the liver and spleen were not touched, and there was tenderness in the lower abdomen. There was no obvious rebound tenderness and muscle tension. There was no mass in the lower abdomen. Bowel sounds exist. Anal diagnosis: Anterior uterus, often large, with poor activity, no tenderness, can reach a mass of about 8cm × 6cm × 5cm in size on the left side of the uterine cavity and is hard and inactive. in