Inclusion criteria | / / / / |
/ / / / / / | |
刘义彬 |
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Date | 2021-11-11 yyyy-mm-dd |
- Medical History
- General information
- Physical examination
- Blood Routine Tests
- Urine Routine Test
- Blood Biochemical items Tests
- Coagulation Function Tests
- HBV/HCV/HIV/Syphilis Markers Test
- Blood Gas Analysis
- D-dimer Test
- HCG Test
- Visual Analogue Scale
- Image Examinations
- Other Tests
120 小时 |
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无 |
|
Average times of menstrual onset a year | 10 次/年 |
Average menstrual cycle | 36.5 天(days) |
Menarche time | 13 岁(years) |
The time of last Menstruation | 2021-10-22 年、月、日(yyyy-mm-dd) |
The time of menstrual onset before the last one | 不详 年、月、日(yyyy-mm-dd) |
Disease or surgery name | 无 |
Date of the confirmation or the surgery | -- 年/月/日(yyyy-mm-dd) |
Date | 2021-11-11 yyyy-mm-dd |
Date of signing the informed consent | 2021-11-11 |
Date of birth | 1996-11-02 yyyy-mm-dd |
Age | 25 Years |
Education background | University
|
Occupation | Other
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Other (Description) | 自由职业 |
Vulva | Not examined
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Description in detail for abnormal |
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Vagina | Not examined
|
Description in detail for abnormal |
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Uterine neck | Not examined
|
Description in detail for abnormal |
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Corpus uteri | Not examined
|
Description in detail for abnormal |
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Adnexa uteri | |
Left side | Not examined
|
Description in detail for abnormal |
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Right side | Not examined
|
Description in detail for abnormal |
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Weight | 117.5 kg |
Hight | 172 mm |
Systolic pressure (SP) | 115 mmHg |
Diastolic pressure | 83 mmHg |
Temperature | 36 degree Celsius |
Pulse rate | 101 次/分 |
Breath frequency | 25 次/分 |
Doctor signature | 刘义彬 |
Date | 2021-11-11 yyyy-mm-dd |
WBC | ×109 /L |
NEUT% | % |
LY% | % |
MONO% | % |
RBC | ×10^12 /L |
HGB | g/L |
PLT | ×10^9 /L |
Researcher signature |
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Date | yyyy-mm-dd |
Acidity and allkalinity | |
pH value |
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Urine protein | |
Urine red cell | |
Urine WBC | |
Urine glucos | |
Urine Bilirubin | |
Urine HCG | |
KET | |
SG |
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UBG | |
NIT | |
Date of test | yyyy-mm-dd |
ALT | U/L |
AST | U/L |
GGT/γ-GT | U/L |
ALP | U/L |
TBIL | μmol/L |
DBIL | μmol/L |
IBIL | μmol/L |
ALB | g/L |
UA | umol/L |
UREA | mmol/L |
Cr | umol/L |
TC | mmol/L |
TG | mmol/L |
HDL | mmol/L |
LDL | mmol/L |
CK | U/L |
CK-MB | U/L |
LDH | U/L |
K | mmol/L |
Na | mmol/L |
Cl | mmol/L |
Ca | mmol/L |
Glu | mmol/L |
Date | yyyy-mm-dd |
Prothrombin time | 秒 |
Thrombin time (TT) | 秒 |
Activated partial thromboplastin time (APTT) | 秒 |
Fibrinogen (FIB) | g/L |
Date of examination | yyyy-mm-dd |
HBV | |
HCV | |
Date of test | yyyy-mm-dd |
PCO2 | mmHg |
PH |
|
SBE | mmol/l |
HCO3 | mmol/l |
SO2 | % |
P02 | mmHg |
LAC | mmol/L |
Date of examination | (yyyy-mm-dd) |
|
mIU/mL |
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Urine HCG |
Pain Visual Analogue Score |
天 |
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cm*cm*cm |
|
|
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cm |
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cm |
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Date of examination | yyyy-mm-dd |
Abdomen CT examination | |
Description in detail for abnormal |
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Date of examination | yyyy-mm-dd |
|
BG Puncture site | |
Temperature | ℃ |
Systolic pressure (SP) | mmHg |
Diastolic pressure (DP) | mmHg |
Heart Rate, HR | 次/分 |
Blood pressure | mmHg |
WBC | ×109 /L |
NEUT% | % |
LY% | % |
RBC | ×10^12 /L |
MONO% | % |
HGB | g/L |
PLT | ×10^9 /L |
Date | yyyy-mm-dd |
D-dimer | |
D-dimer |
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Date of test | yyyy-mm-dd |
Pain Visual Analogue Score |
sample collection | |
Volume | ml |
Time of collection | yyyy-mm-dd-hh-min. |
Label Number of the sample |
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Is there any adverse event? | |
Severity | |
Within 30 minites or not? | |
Begin time at | 年/月/日(yyyy-mm-dd) |
Time of stop | 年/月/日(yyyy-mm-dd) |