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病历摘要马×,住院号1246105,女,63岁,妊0产0。患者因下腹痛3年、腹部捫及包块半年,于1964年4月27日第一次入院。5月3日行剖腹手术,发现子宫如妊娠6周大,左后壁隆起;两侧输卵管积水,右侧10×6×5厘米大,左侧2×3×2厘米大;左侧卵巢4×5×4厘米大,外观似滤泡囊肿,右侧卵巢正常,作全子宫及左侧附件和右输卵管切除术,因当时年仅45岁,保留右侧正常卵巢。病理报告:子宫多发性肌瘤,双侧输卵管积水,左侧卵巢滤泡囊肿,术后情况良好。 1970年后出现劳累后气短,并有头晕。1978年发现血压为160～180/90～100毫米汞柱。1981年心慌气短加重,不能平卧,腿肿。心电图检查:有心房颤动、冠状动脉供血不足。
Medical record summary horse ×, hospital number 1246105, female, 63 years old, pregnancy 0 produce 0. Patients with abdominal pain for 3 years, abdominal palpable mass six months, on April 27, 1964 the first admission. May 3 line laparotomy and found that the uterus, such as 6 weeks of pregnancy, the left posterior wall bulge; both sides of the hydronephrosis, right 10 × 6 × 5 cm large, left 2 × 3 × 2 cm large; left ovary 4 × 5 × 4 cm, look like follicular cysts, the right ovary normal for the entire uterus and left attachment and right salpingectomy, because only 45 years old, retaining the right side of the normal ovary. Pathology report: multiple uterine fibroids, bilateral hydronephrosis, left ovarian follicular cysts, postoperative condition is good. Post-1970 after exertion, shortness of breath, and dizziness. In 1978, blood pressure was found to be 160-180/90-100 mmHg. Flustered in 1981 increased shortness of breath, can not lie down, swollen legs. ECG: atrial fibrillation, coronary insufficiency.