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患者单××,女,46岁,住院号53050,入院日期:83.3.24。主诉上环九年,停经半年要求取环。于81年曾在工厂保健站检查称环尾长度正常,近数月来房事时男方有不适感。月经史:14(4~5)/(26~28)量中,无痛经,末经82.9.孕3产2,人流一次,顺产2次。末产68年。以往无特殊病史。体检:BP:110/70mmHg,T:36.5°C,P:64次/分。R:20次/分,心肺正常,肝脾不大。妇检:外阴、阴道无炎症,子宫颈轻炎,于子宫颈前唇相当于时钟1~2点、距宫颈外口约O.8厘米处
Single patient × ×, female, 46 years old, hospital number 53050, admission date: 83.3.24. Chief ring Sheung Wan nine years, menopause required six months to take ring. In the factory health check in 81 years that the normal length of the tail ring, the man in recent months when the man has discomfort. Menstrual history: 14 (4 ~ 5) / (26 ~ 28) volume, no dysmenorrhea, the last 82.9. Pregnancy and 3 births 2, abortion, normal birth 2 times. The end of 68 years. In the past no special medical history. Physical examination: BP: 110 / 70mmHg, T: 36.5 ° C, P: 64 beats / min. R: 20 beats / min, normal heart and lungs, liver and spleen is not large. Gynecological examination: vulva, vaginal inflammation, inflammation of the cervix, the cervix in the anterior lip is equivalent to the clock 1 to 2 points, about 0.8 cm away from the cervix outside the mouth