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患者女,30岁。住院号41792。因停经4个月腹部迅速增大。一个月后(1981年4月10日)拟诊为宫内孕合并巨大卵巢肿瘤入院。一胎;末次月经1980年12月3日,停经40天后有纳差、恶心、乏力。近一月来腹部明显增大伴上腹部持续性胀痛,4天来腹部胀痛加剧,难以忍受,伴活动后心悸、气急,但能平卧。发病以来无发冷、发热、尿频和血尿史。29岁结婚,月经正当。体检:一般情况好,血压14.7/10.1kPa,心肺(-),肝脾触诊不满意,两侧肾区无叩击痛,腹部膨隆大于足月妊娠,触及巨大囊性肿块,其上界位于剑突下,不活动,囊肿前下方可及如孕4~+月大小之子宫。叩诊腹左侧鼓音,余处呈浊音,无移动性浊音,双合诊检查:阴道穹窿右侧
Female patient, 30 years old. Hospital number 41792. Because of the menopause, the abdomen rapidly increased in 4 months. One month later (April 10, 1981), she was diagnosed with intrauterine pregnancy combined with a giant ovarian tumor. One fetus; the last menstrual period December 3, 1980, anecdotal, nausea, fatigue after 40 days of menopause. In the past month, the abdomen was significantly enlarged with persistent abdominal pain. The pain in the abdomen increased in 4 days. It was unbearable. After the activity, palpitations and shortness of breath occurred, but it was supine. No chills, fever, frequent urination, and history of hematuria since the onset of the disease. 29 years old married, menstruation right. Physical examination: Generally good, blood pressure 14.7/10.1kPa, cardiopulmonary (-), liver and spleen are not satisfied with palpation, bilateral no percussion pain in the kidney area, abdominal bulging is greater than full-term pregnancy, touches a huge cystic mass, its upper boundary is located Under xiphoid, inactive, cysts can reach the uterus of the size of 4~+months. Percussion Abdominal drum sounds on the left side, voiced sounds in the rest, no moving dullness, double check-up examination: right side of vaginal cramps