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患者47岁,住院号B047251。因宫颈炎电烙上药治疗1年余无效,近半年下腹痛腰痛阴道淋漓出血,于1992年4月13日入院。有“胃病”多年,无烟酒嗜好。孕8产6,流产2次。带节育环10年。个人及家族史无特殊。查体:T37℃,P82次/分,Bp18.0/11.0 kPa,全身浅表淋巴结不大,心肺正常。腹部平软无压痛,肝脾不大。妇科检查:外阴、阴道正常,其粘膜附有少许血性分泌物、有臭味。宫颈超鸡卵大,糜烂面广、色暗红,触之质硬,移动性差,有触痛,有接触性出血。子宫附件正常。宫颈刮片查脱落细胞巴氏Ⅱ级。B超:子宫附件正常,宫内有一节育环,宫颈肥大回声异常。Hb100g/L,
Patient 47 years old, hospital number B047251. Due to cervicitis electric treatment on the drug more than 1 year invalid, nearly six months lower abdominal pain vaginal bleeding dripping, in April 13, 1992 admission. A “stomach” for many years, non-smoking alcohol hobby. Pregnancy 8 6, abortion 2 times. With birth control ring 10 years. No personal and family history. Physical examination: T37 ℃, P82 / min, Bp18.0 / 11.0 kPa, systemic superficial lymph nodes is not large, normal heart and lung. Soft abdominal tenderness, liver and spleen is not. Gynecological examination: vulva, vaginal normal mucosa with a little bloody discharge, stink. Cervical super-chicken eggs, large erosion area, color dark red, touch the hard, poor mobility, tenderness, contact bleeding. Uterine attachment is normal. Cervical smears fall off cells Pap II. B-ultrasound: normal uterine attachment, intrauterine contraceptive ring, cervical hypertrophy echo. Hb100g / L,