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患者女,46岁。因渐进性排尿困难35天,尿闭伴下腹坠胀3天收入院。患者平素健康,无泌尿道结石、感染及慢性肾炎病史。17岁结婚,同龄月经初潮,孕8产7,人工流产一次,末次妊娠32岁,后坚持上环避孕。检查:体温36.8℃,脉搏80次/分,血压120/90毫米杀柱,全身皮肤及粘膜没见血管瘤。心肺正常,腹软,肝脾未触及。下腹部隆起,膀胱高度充盈,上界平脐。导尿后作妇科检查:经产型。宫颈被挤向耻骨联合后方,暴露不清楚,后穹窿下降至阴道上1/3处。子宫被包块顶向前方,宫体稍大,活动受限,无压痛。可触及一包块,形状不规则,囊性感,
Female patient, 46 years old. 35 days due to progressive dysuria, urinary closure with abdominal distension 3 days income hospital. Patients usually healthy, no history of urinary tract stones, infection and chronic nephritis. 17-year-old married, the same age menarche, pregnancy 8 7, abortion once, the last 32-year-old pregnancy, after insisting on Shek Wan contraception. Check: body temperature 36.8 ℃, pulse 80 beats / min, blood pressure 120/90 mm kill column, systemic skin and mucous membrane did not see hemangiomas. Cardiopulmonary normal, abdominal soft, liver and spleen not touched. Lower abdomen bulge, bladder height filling, the upper bound flat navel. Guiding postoperative gynecological examination: the production type. The cervix is squeezed to the pubic symphysis rear, the exposure is not clear, after the vault dropped to the vagina on the 1 / Uterine mass is the top of the block, the palace slightly larger, limited mobility, no tenderness. Can reach a pack of pieces, irregular shape, cystic sexy,