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患者,女,21岁,因停经3月突然左下腹阵发性疼痛3小时伴呕吐1次,无发冷发热,无阴道流血,于1987年12月4日以卵巢囊肿蒂扭转入院。既往健康。平时月经规律,末次月经1987年8月28日,早孕反应不明显。体检:T36℃,P80次/分,BP11.9/7.9kPa(90/60mmHg),心肺正常,下腹略膨隆,耻骨联合上3.0cm可触及宫底,在其左上方可触一成人手拳大小的囊性肿物,表面光滑,活动度良好,压痛(+),无反跳痛及肌紧张,无移动性浊音。妇科情况:宫口未开大,无阴道流血,子宫体似鹅卵大小、软,在其上方偏左可触手拳大小的囊性肿物,上推肿物,子宫略上移,子宫左侧压痛(++)。B超:左下腹扫查可见13.5×10.0cm无回声暗区。诊断:早孕并发卵巢囊肿蒂扭转。在硬膜
Patients, female, 21 years old, due to menopause in March suddenly left lower extremity paroxysmal pain 3 hours with vomiting 1, no chilling fever, no vaginal bleeding, December 4, 1987 to ovarian cyst torsion hospitalization. Past health. Normal menstrual regularity, the last menstrual August 28, 1987, early pregnancy reaction was not obvious. Physical examination: T36 ℃, P80 beats / min, BP11.9 / 7.9kPa (90 / 60mmHg), normal heart and lungs, lower abdomen slightly bulging, pubic symphysis 3.0cm can reach the fundus at the upper left to touch an adult hand fist size Cystic mass, smooth surface, good activity, tenderness (+), no rebound tenderness and muscle tension, no shifting dullness. Gynecological conditions: cervix is not open large, no vaginal bleeding, the uterus body size like a goose, soft, tentacle in the top left hand tentacle size cystic mass, push the tumor, the uterus slightly upward, the left side of the uterus Tenderness (++). B-super: left lower quadrant scan visible 13.5 × 10.0cm no echo dark area. Diagnosis: early pregnancy complicated by ovarian cyst torsion. In the dura