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患者61岁,未婚。因下腹肿块伴腹痛、发热10天,于1980年9月27日入院。初为不规则发热,继而持续发热39℃上下,伴下腹隐痛,阵发性加剧,无恶心呕吐。体检:发育正常,贫血貌。血压110/88mmHg;体湿38.5℃;脉搏90次/分.腹平软,肝脾未触及。下腹可触及儿头大肿物,表面光滑,轻度压痛,活动受限。肛诊:盆腔可触及大小与腹部相同肿块,质硬。宫颈小,宫体未触及。Hb55g/L,WBC10.3×10~9/L,N74%,L20%,E5%,单核1%;BPC130×10~9/L;ESR124mm/h.初步诊断:卵巢囊肿合并感染.既往体健,初潮未行.无肿瘤家族史。
Patient 61 years old, unmarried. Due to abdominal mass with abdominal pain, fever 10 days, on September 27, 1980 admission. The beginning of irregular fever, followed by persistent fever 39 ℃ up and down, with abdominal pain, paroxysmal aggravating, no nausea and vomiting. Physical examination: normal development, anemia appearance. Blood pressure 110 / 88mmHg; body wet 38.5 ℃; pulse 90 beats / min. Abdomen soft, liver and spleen not touched. The lower abdomen can touch the big swollen body, the surface is smooth, mild tenderness, activity is limited. Rectal examination: the pelvis can reach the same size and abdomen mass, hard. Cervical small, Palace did not touch. Hb55g / L, WBC10.3 × 10 ~ 9 / L, N74%, L20%, E5%, mononuclear 1%; BPC130 × 10 ~ 9 / L; ESR124mm / h. Preliminary diagnosis: Ovarian cyst with infection. Kin, menarche not line .No tumor family history.