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患者杨某,23岁,未婚,以不规则阴道流血6年为主诉于1997年4月4日入院。患者16岁月经初潮,开始月经规则,6年前出现月经紊乱,表现为周期10天至60天不等,经期淋漓不断,或不规则阴道流血,按“功血”治疗数年,经服用中药、止血剂和人工周期等治疗症状不改善,贫血症状逐年加重。入院前肛查发现子宫右前壁有3cm直径、质硬突起,B超探查见宫腔内有6.9cm×6.8cm×6.4cm强光团,报告子宫肌瘤,故以该诊断住院。查体:生命体征平稳,贫血貌、睑结膜苍白,心肺(-),肝睥未及。肛诊:宫体前位,2月孕大小,右前壁有2cm×3cm×3cm质硬突起,活动,无压痛,附件区(-)。辅助检
Yang patient, 23 years old, unmarried, with irregular vaginal bleeding for 6 years mainly on April 4, 1997 admission. Patients 16 years menstrual menarche, menstruation began rule, 6 years ago, menstrual disorders, manifested as a period of 10 days to 60 days, menstrual dripping, or irregular vaginal bleeding, according to “blood” for several years, after taking traditional Chinese medicine , Hemostatic agents and artificial cycles and other symptoms do not improve, anemia increased year by year. Anteroscopy before admission found that the right anterior wall of the uterus with 3cm diameter, hard protrusions, B ultrasound to see intrauterine intrauterine 6.9cm × 6.8cm × 6.4cm light group, report uterine fibroids, so the diagnosis of hospitalization. Physical examination: stable vital signs, anemia appearance, pale conjunctiva, cardiopulmonary (-), liver failure. Rectal examination: Palace anterior, February pregnancy size, the right anterior wall 2cm × 3cm × 3cm hard hard protrusions, activity, no tenderness, attachment area (-). Assisted inspection