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患者鲁××,49岁,已婚,农民。半年前觉下腹部有一包块,逐渐增大,近月来增长迅速,行动不便,食纳受限,少食即感腹胀,初疑为怀孕,但月经仍来潮,末次月经为11月22日,量中等,于1979年12月3日住院。月经史:以往正常,近半年来,~-14/30-50生产史:8—0—0—6。既往史:无特殊。查体:体温37℃,脉搏84次,呼吸18次。血压128/90,心肺(一),肝脾未满意触及。全腹隆起,下界起于耻骨,上达剑突下三横指,上下径26cm,左右
Patient Lu × ×, 49 years old, married, farmer. Half a year ago, the lower abdomen had a mass, gradually increased in recent months, rapid growth, mobility, limited food intake, ie abdominal distension, initial suspicion of pregnancy, but menstrual cramps, the last menstrual period is November 22, The amount of medium, in December 3, 1979 hospitalization. Menstrual history: past normal, nearly six months, ~ -14 / 30-50 production history: 8-0-0-6. Past history: no special. Physical examination: body temperature 37 ℃, pulse 84 times, breathing 18 times. Blood pressure 128/90, cardiopulmonary (a), liver and spleen are not satisfied with touch. The whole abdominal bulge, the lower bounds starting in the pubic bone, on the xiphoid three horizontal refers to the diameter of 26cm, about