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陈××,19岁,未婚,因脐周阵发性疼痛一天,转移至右下腹12小时,于1978年8月24日上午急诊入院。初潮12岁,周期10/30天,初起二天量多,有小血块,其后减少淋漓。末次月经8月8日。幼年时患过出血病,原因不详,平时常有鼻衄及全身出现散在性青块。体检:神清,面色苍白,体温38.2℃,脉搏100次/分、呼吸20/分,血压114/58毫米汞柱。心肺(-),腹部检查左下腹压痛明显,轻度肌卫,耻骨联合上方触及界限不清之肿块,轻度压痛,腹壁及四肢可见多处皮下瘀斑。肛检:子宫大小正常,宫体后方触及9×6×5厘米肿块,张力中等。化验:血红蛋白48％,红细胞266万/立方毫米,白细胞13,800/立方毫米,中性87％,出血时间1分,凝血时间2分,血小板86,000/立方毫米。根据病史及体征拟诊卵巢囊肿扭
Chen × ×, 19 years old, unmarried, due to intermittent pain in the umbilical cord one day, transferred to the right lower quadrant for 12 hours, on the morning of August 24, 1978 emergency admission. Menarche 12 years old, cycle 10/30 days, the amount of two days since the beginning of more small blood clots, and then reduce the dripping. The last menstruation August 8. Childhood hemorrhagic disease, the reason is unknown, usually the nose and body often appear scattered sexual green blocks. Physical examination: Shen Qing, pale, body temperature 38.2 ℃, pulse 100 beats / min, breathing 20 / min, blood pressure 114/58 mm Hg. Heart and lung (-), abdominal examination left lower quadrant tenderness was obvious, mild myopia, suprapubic joint touches unclear boundary of the lumps, mild tenderness, abdomen and limbs can be seen multiple subcutaneous ecchymosis. Anal examination: normal uterine size, behind the Palace touched 9 × 6 × 5 cm mass, medium tension. Assay: hemoglobin 48%, erythrocytes 2660000 / cubic mm, white blood cells 13,800 / cubic mm, neutral 87%, bleeding time 1 minutes, clotting time 2 minutes, platelet 86,000 / cubic millimeter. According to medical history and signs of ovarian cyst torsion