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患者张××,女性,44岁,农民,于64年1月来院就诊。主诉:痛经10余年,下腹部发现一包块3—4年,婚后20多年来孕。10年前每次月经来潮时腹部即发生下坠疼,持续至经净止;同时行经期由3—5天逐渐延长至7—10天,经血红而量多,混有血块,周期30—40天。3年前发现下腹部有一拳大硬而无疼包块,并逐年增大,入院时已增大到脐,随包块增大而行经期下腹疼加剧,有时因腹疼而昏倒。并伴有恶心呕吐,偶有便意频数感。
Zhang × × patients, women, 44-year-old farmer, in January 64 to hospital. Chief complaint: dysmenorrhea more than 10 years, the lower abdomen found a mass 3-4 years after marriage more than 20 years of pregnancy. 10 years ago, each menstrual cramps when the abdomen falls pain, continued until the net only; while the menstrual period from 3-5 days gradually extended to 7-10 days, the amount of blood and red, mixed with blood clots, the period 30-40 day. 3 years ago found a lower abdomen fist hard and no pain mass, and increased year by year, admission has increased to the umbilical, with the mass increases menstrual abdominal pain worsened, sometimes collapsed due to abdominal pain. And accompanied by nausea and vomiting, occasional frequency of meaning.