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1.Screening
1.1.Inclusion Criteria

Inclusion criteria

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1.2.Exclusion Criteria

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刘义彬

Date

2022-07-07 yyyy-mm-dd

2.Baseline
2.1.Medical History

9 小时

Average times of menstrual onset a year

次/年

Average menstrual cycle

-- 天(days)

Menarche time

岁(years)

The time of last Menstruation

-- 年、月、日(yyyy-mm-dd)

The time of menstrual onset before the last one

-- 年、月、日(yyyy-mm-dd)

Disease or surgery name

--

Date of the confirmation or the surgery

-- 年/月/日(yyyy-mm-dd)

Date

2022-2-28 yyyy-mm-dd

2.2.General information

Date of signing the informed consent

2022-7-7

Date of birth

2009-08-18 yyyy-mm-dd

Age

12 Years

Education background

Primary school

Occupation

Other

Other (Description)

学生

2.3.Physical examination

Vulva

Normal

Description in detail for abnormal

--

Vagina

Not examined

Description in detail for abnormal

--

Uterine neck

Not examined

Description in detail for abnormal

--

Corpus uteri

Not examined

Description in detail for abnormal

--

Adnexa uteri

Left side

Not examined

Description in detail for abnormal

--

Right side

Not examined

Description in detail for abnormal

--

Weight

63 kg

Hight

1580 mm

Systolic pressure (SP)

125 mmHg

Diastolic pressure

76 mmHg

Temperature

36.6 degree Celsius

Pulse rate

72 次/分

Breath frequency

19 次/分

Doctor signature

刘义彬

Date

2022-08-28 yyyy-mm-dd

2.4.Blood Routine Tests

WBC

10.46 ×109 /L

NEUT%

86.1 %

LY%

11.7 %

MONO%

2.1

RBC

4.65 ×10^12 /L

HGB

135 g/L

PLT

274 ×10^9 /L

Researcher signature

刘义彬

Date

2022-07-08 yyyy-mm-dd

2.5.Urine Routine Test

Acidity and allkalinity

pH value

--

Urine protein

Urine red cell

Urine WBC

Urine glucos

Urine Bilirubin

Urine HCG

KET

SG

--

UBG

NIT

Date of test

未检测 yyyy-mm-dd

2.6.Blood Biochemical items Tests

ALT

14 U/L

AST

15.1 U/L

GGT/γ-GT

14 U/L

ALP

144 U/L

TBIL

11 μmol/L

DBIL

4.1 μmol/L

IBIL

6.9 μmol/L

ALB

47.6 g/L

UA

389 umol/L

UREA

2.6 mmol/L

TC

未查 mmol/L

Cr

53 umol/L

TG

未查 mmol/L

HDL

未查 mmol/L

LDL

未查 mmol/L

CK

未查 U/L

CK-MB

未查 U/L

LDH

未查 U/L

K

4.1 mmol/L

Na

142.3 mmol/L

Cl

107.7 mmol/L

Ca

2.47 mmol/L

Glu

未查 mmol/L

Date

2022-7-7 yyyy-mm-dd

2.7.Coagulation Function Tests

Prothrombin time

12.8

Thrombin time (TT)

15

Activated partial thromboplastin time (APTT)

33.3

Fibrinogen (FIB)

2.95 g/L

Date of examination

2022-07-07 yyyy-mm-dd

2.8.HBV/HCV/HIV/Syphilis Markers Test

HBV

Negative

HCV

Negative

Negtive

Negative

Date of test

2022-07-07 yyyy-mm-dd

2.9.Blood Gas Analysis

Date of examination

2022-07-07 (yyyy-mm-dd)

LAC

1.6 mmol/L

SBE

-0.8 mmol/l

SO2

99

HCO3

23.4 mmol/l

PCO2

38.9 mmHg

P02

91.5 mmHg

PH

7.397

2.10.D-dimer Test

0.38

2.11.HCG Test

未检测 mIU/mL

Urine HCG

Not detected

2.12.Visual Analogue Scale

Pain Visual Analogue Score

Quit pain barely tolerable

2.13.Image Examinations

--

2.94*3.07*1.72 cm*cm*cm

--

7.49*8.37*6.63 cm

左2.34*1.94cm;右3.61*1.87 cm

Date of examination

2022-07-07 yyyy-mm-dd

Abdomen CT examination

Not tested

Description in detail for abnormal

--

Date of examination

-- yyyy-mm-dd

--

2.14.Other Tests
3.In the process of the treatment
3.1.Treatment Record

右侧输卵管系膜囊肿

8*7*7 cm

逆时针900° °

Detwist

亓文博

2022-07-08

4.Follow-up
4.1.Physical examination

BG Puncture site

No

Temperature

36.8

Systolic pressure (SP)

-- mmHg

Diastolic pressure (DP)

-- mmHg

Heart Rate, HR

78 次/分

Blood pressure

-- mmHg

4.2.Blood Routine Test

WBC

10.1 ×109 /L

NEUT%

72.1 %

LY%

23.1 %

MONO%

3.9

RBC

4.58 ×10^12 /L

HGB

134 g/L

PLT

296 ×10^9 /L

Date

2022-07-08 yyyy-mm-dd

4.3.D-dimer test

D-dimer

D-dimer

0.43

Date of test

2022-07-08 yyyy-mm-dd

4.4.Visual Analogue Scale

Pain Visual Analogue Score

Occasionally very slight pain
/
Occasionally very slight pain

5.Management system of participants

sample collection

Collected

Volume

1 ml

Time of collection

2022-07-07 yyyy-mm-dd-hh-min.

Label Number of the sample

68698

6.ADR/ADE management system

Is there any adverse event?

No

No

No

Severity

Within 30 minites or not?

Begin time at

--- 年/月/日(yyyy-mm-dd)

Time of stop

-- 年/月/日(yyyy-mm-dd)