论文部分内容阅读
患者21岁,未婚。因腹胀、发热15天于1973年5月19日入院。既往体健。月经15 5/45,中等量,无痛经,末次月经4月25日。家族史无特殊。 体温38.5℃,P80次/min,BP12.7/8.0kPa。痛苦病容,消瘦。心率122次/min。腹部膨隆,腹壁轻压痛,以左下腹为甚。下腹部隐约可扪及一包块,移动性浊音(十)。肠鸣音亢进。子宫后倾,偏左,稍小。子宫左前方可扪到约儿头大小之包块,质硬,表面不平,活动、轻压痛。 超声波检查:侧位腹水10cm,脐下2cm至耻骨联合探及肿块,前后径9cm,实性。
The patient is 21 years old and unmarried. Due to bloating, fever 15 days in May 19, 1973 admission. Past physical health. Menstruation 15 5/45, moderate, no dysmenorrhea, the last menstrual April 25. No special family history. Body temperature 38.5 ℃, P80 times / min, BP12.7 / 8.0kPa. Painful, weight loss. Heart rate 122 beats / min. Abdominal bulging, mild abdominal tenderness, left lower abdomen even. Lower abdomen can be palpable palpable mass, shifting dullness (ten). Bowel sounds hyperthyroidism. Uterine backward, left, slightly smaller. The left front of the uterus palpable about the size of the child head mass, hard, uneven surface, activity, mild tenderness. Ultrasound examination: lateral ascites 10cm, 2cm below the umbilicus to pubic symphysis exploration and mass, anteroposterior diameter 9cm, solid.