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患者范某,女,48岁。因下腹部隐痛2年,生殖健康检查发现卵巢囊肿1月,要求手术治疗。于2000年5月4日人本站。查体:T36.5℃,R20次/分,BP15/10kPa,心肺(一),肝脾肋下未及。腹部未及包块。两肾区无叩击痛。妇检:外阴婚产式,阴道畅,宫颈光滑,宫体平位。子宫前壁处触及约妊娠50天大小囊性块,质软。活动可推之子宫右侧。双附件处未能触及包块。 实验室检查:Hb10g/b,RBL3.90×10~(12)/L,wBC5.4×10~9/L,尿化验、肝肾功能均正常。B超:子宫前位正常大小。宫区回声均匀,内膜线清晰,子宫前方探及一个7.0直径囊性壁光。囊块上方见细小点状回声,提示为:“右侧卵巢囊肿”。入站术前准备
Fan Fan, female, 48 years old. Due to pain in the lower abdomen for 2 years, reproductive health examination found ovarian cysts in January, requiring surgery. On May 4, 2000, this site. Physical examination: T36.5 ℃, R20 beats / min, BP15 / 10kPa, cardiopulmonary (a), liver and spleen ribs did not reach. Abdominal mass and not mass. Two perimenal zone without percussion pain. Prostitution: Vulgar marriage type, vaginal Chang, cervical smooth, palace level. The anterior wall of the uterus touches a cystic mass of about 50 days of gestation, which is soft. Activities can push the right side of the uterus. Double attachments failed to reach the mass. Laboratory tests: Hb10g / b, RBL3.90 × 10 ~ (12) / L, wBC5.4 × 10 ~ 9 / L, urine test, liver and kidney function are normal. B super: normal size of the uterus before. Palace echo uniform, clear endometrial line, in front of the uterus and exploration of a 7.0 diameter cystic wall light. See small punctate eyelid above the capsule, suggesting: “Right ovarian cyst.” Inbound preoperative preparation