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患者李某,24岁,未婚。因月经量明显增多一年余,加重三个月,伴头晕乏力就诊。经门诊检查,以子宫肌瘤,继发性贫血收住院。月经14岁初潮,5—6/(28)—(30)天,量较多。近一年来经期延长至8—10天,经量明显增多,但周期仍正常,平时白带不多。近三个月来全身乏力,头晕不适,不能坚持工作。检查:血压14.7/9.3kPa,体温、脉搏正常;面色苍白,贫血貌;皮肤粘膜无黄染,头颈无异常,心肺正常。腹部平软,肝脾肋下未触及。肛诊:外阴发育正常,子宫体前位50天妊娠大小,质坚硬,后壁明显突起,活动好,无压痛,
Patient Lee, 24 years old, unmarried. Due to significant increase in menstrual volume more than a year, aggravating three months, with dizziness, fatigue treatment. The clinic examination to uterine fibroids, secondary anemia received hospital. Menstruation 14-year-old menarche, 5-6 / (28) - (30) days, the amount of more. In the past year, the menstrual period is extended to 8-10 days, the amount of which is obviously increased, but the cycle is still normal, usually with few leucorrhea. Nearly three months of malaise, dizziness, discomfort, can not adhere to work. Check: blood pressure 14.7 / 9.3kPa, body temperature, normal pulse; pale, anemic appearance; skin mucosa no yellow dye, no abnormality of the head and neck, normal heart and lung. Abdomen soft, liver and spleen ribs untouched. Rectal examination: normal vulva development, uterine body size 50 days before pregnancy, hard quality, obvious protruding posterior wall, good activity, no tenderness,