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患者50岁,孕4产4,住院号944084。入院前27天偶然发现下腹部有一拳头大的包块,无痛及其他不适,包块增大迅速。入院前15天开始阴道少量出血,色黑,无水泡状物,于1994年12月4日入院。既往月经规律,40岁绝经,绝经后无不适。查体:一般状况差,贫血貌,心肺正常,下腹稍膨隆,肝、脾、肾未触及,下腹可触及一约11cm×12cm×8cm大小包块,质软,表面光滑,有压痛,不活动,无胎音、胎体。妇科检查:外阴、阴道正常,
Patients 50 years old, pregnant 4 4, hospital number 944084. 27 days before admission accidentally found a lower abdomen has a large mass, painless and other discomfort, mass rapid increase. 15 days before admission to start a small amount of vaginal bleeding, color black, no blisters, in December 4, 1994 admission. Previous menstrual regularity, 40-year-old menopause, no discomfort after menopause. Check the body: poor general condition, anemia appearance, normal heart and lungs, slightly bulging lower abdomen, liver, spleen, kidney untreated, lower abdomen can reach a size of about 11cm × 12cm × 8cm mass, soft, smooth surface, tenderness, inactivity , Without fetal sound, carcass. Gynecological examination: vulva, vaginal normal,