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患者女性,26岁,未婚。住院号为岳阳医院1008。于1981年9月14日入院。因阴蒂增大10多年,近3年来增大较快,无痛。一年来面部出现少量痤疮。在外院曾诊断为性别畸形。月经14岁初潮,周期5/26天,量中,轻度痛经,末次月经1981年8月28日。7岁时曾患结核性胸膜炎,已愈。体检:体温、脉搏、呼吸及血压均正常,心肺阴性,肝脾未触及。乳房及女性第二性征发育良好。阴、腋毛分布正常,女性外生殖器,未婚式,阴蒂明显增大,约为5×2.5×2.5厘米,质中(图1)。肛查子宫体后位,正常大小,活动度佳,双侧附件阴性。实验室检查:血、尿常规及肝功能正常,尿17羟7.8毫克/24小时、17酮13.3毫克/24小时,血睾丸
Patient female, 26 years old, unmarried. Hospital No. 1008 Yueyang Hospital. Admitted to hospital on September 14, 1981. Due to the clitoris increased by more than 10 years, the past three years to increase faster, painless. A small amount of facial acne appeared in a year. Outside the hospital has been diagnosed as gender deformity. Menstruation 14-year-old menarche, cycle 5/26 days, volume, mild dysmenorrhea, the last menstrual August 28, 1981. 7 years old had tuberculous pleurisy, has been more. Physical examination: body temperature, pulse, respiration and blood pressure were normal, heart and lung-negative, liver and spleen not touched. Breast and female secondary sexual characteristics well developed. Yin, armpit hair distribution is normal, female genitalia, unmarried, clitoris significantly increased, about 5 × 2.5 × 2.5 cm, quality (Figure 1). Anal check uterine posterior position, normal size, good mobility, bilateral accessory negative. Laboratory tests: blood, urine and normal liver function, urine 17 hydroxy 7.8 mg / 24 hours, 17 ketone 13.3 mg / 24 hours, blood testis