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患者女,42岁,因闭经2~+月,下腹包块一个月,恶心呕吐十余天,于1991年2月19日入院。既往健康,19岁初婚,30岁再婚,孕7产7,末次生产于2年前,产后哺乳一年半未行经。于半年前无明显诱因突然阴道大流血,一次量约1200ml。当地医院刮宫治疗,无明确诊断出院.出院后阴道流血持续不断,时多时少,自服“云南白药”、“三七”治疗,于1991年1月初阴道流血停止,十余天后发现下腹包块,如鸭卵大,此后迅速增长。检查:一般情况好,心肺听诊正常,下腹部包块如5个月妊娠子宫大小,质地不均,压痛。妇科检查:外阴经产式,阴道畅,无紫蓝色结节、宫颈无着色,有腺体潴留囊肿多个,宫体大小不清,似于子宫后方稍偏左附件区可及30cm×25cm×
Female, 42 years old, due to menopause 2 ~ + month, abdominal mass a month, nausea and vomiting more than ten days, in February 19, 1991 admission. Formerly healthy, 19-year-old first marriage, 30-year-old remarried, pregnant 7 7, the last production in 2 years ago, postpartum breastfeeding a year and a half without passing. Six months ago no obvious incentive sudden vaginal bleeding, a volume of about 1200ml. Local hospital curettage, no clear diagnosis and discharge.After discharge from the vagina continuous, when more and less, since serving “Yunnanbaiyao”, “Panax” treatment, in January 1991 early vaginal bleeding stopped more than ten days after the discovery of lower abdominal mass , Such as duck eggs, then rapidly growing. Check: the general situation is good, cardiopulmonary auscultation normal, abdominal mass such as 5 months pregnant uterine size, uneven texture, tenderness. Gynecological examination: genital production, vaginal Chang, no purple-blue nodules, cervix without coloring, a gland retention cysts more than one, the palace body size is unclear, it seems that the left side of the uterus slightly left attachment area and 30cm × 25cm ×