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1.Screening
1.1.Inclusion Criteria

Inclusion criteria

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/
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1.2.Exclusion Criteria

刘义彬

Date

2023-10-05 yyyy-mm-dd

2.Baseline
2.1.Medical History

9 小时

排便后

Average times of menstrual onset a year

11 次/年

Average menstrual cycle

33.5 天(days)

Menarche time

15 岁(years)

The time of last Menstruation

2023-09-10 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

Date of the confirmation or the surgery

2023-10-04 年/月/日(yyyy-mm-dd)

Date

2021-10-04 yyyy-mm-dd

2.2.General information

Date of signing the informed consent

2023-10-04

Date of birth

1985-08-03 yyyy-mm-dd

Age

38 Years

Education background

University

Occupation

Other

Other (Description)

职员

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

55 kg

Hight

160 mm

Systolic pressure (SP)

110 mmHg

Diastolic pressure

70 mmHg

Temperature

36.6 degree Celsius

Pulse rate

72 次/分

Breath frequency

18 次/分

Doctor signature

刘义彬

Date

2024-10-04 yyyy-mm-dd

2.4.Blood Routine Tests

WBC

15.20 ×109 /L

NEUT%

89.60 %

LY%

7.70 %

MONO%

2.30

RBC

4.07 ×10^12 /L

HGB

127 g/L

PLT

242 ×10^9 /L

Researcher signature

刘义彬

Date

2023-10-04 yyyy-mm-dd

2.5.Urine Routine Test

Acidity and allkalinity

pH value

未查

Urine protein

Urine red cell

Urine WBC

Urine glucos

Urine Bilirubin

Urine HCG

KET

SG

未查

UBG

NIT

Date of test

未查 yyyy-mm-dd

2.6.Blood Biochemical items Tests

ALT

20.5 U/L

AST

21.2 U/L

GGT/γ-GT

19.0 U/L

ALP

97.6 U/L

TBIL

22.80 μmol/L

DBIL

7.70 μmol/L

IBIL

15.10 μmol/L

ALB

42.0 g/L

UA

248.0 umol/L

UREA

3.40 mmol/L

Cr

69.0 umol/L

TC

未查 mmol/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

3.93 mmol/L

Na

140.2 mmol/L

Cl

103.1 mmol/L

Ca

2.34 mmol/L

Glu

9.98 mmol/L

Date

2023-10-04 yyyy-mm-dd

2.7.Coagulation Function Tests

Prothrombin time

12.3

Thrombin time (TT)

12.6

Activated partial thromboplastin time (APTT)

26.8

Fibrinogen (FIB)

2.81 g/L

Date of examination

2023-10-4 yyyy-mm-dd

2.8.HBV/HCV/HIV/Syphilis Markers Test

HBV

Negative

HCV

Negative

Negtive

Negative

Date of test

2023-10-04 yyyy-mm-dd

2.9.Blood Gas Analysis

LAC

2.31 mmol/L

Date of examination

2023-20-04 (yyyy-mm-dd)

SBE

-3.0 mmol/l

HCO3

21.3 mmol/l

SO2

98.5

P02

232.2 mmHg

PCO2

35.5 mmHg

PH

7.395

2.10.D-dimer Test

2.41

2.11.HCG Test

未查 mIU/mL

Urine HCG

Not detected

2.12.Visual Analogue Scale

Pain Visual Analogue Score

Very pain

2.13.Image Examinations

24

5.65*5.06*5.00 cm*cm*cm

未报

6.35*6.23*5.49 12.33*9.42*5.48 cm

右3.09*1.95 左未显示 cm

Date of examination

2023-10-04 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

左卵巢

12*12*9 cm

顺时针扭转720度 °

excision

张丽娟

2023-10-04

4.Follow-up
4.1.Physical examination

BG Puncture site

No

Temperature

36.2

Systolic pressure (SP)

96 mmHg

Diastolic pressure (DP)

60 mmHg

Heart Rate, HR

80 次/分

Blood pressure

96/60 mmHg

4.2.Blood Routine Test

WBC

10.20 ×109 /L

NEUT%

70.10 %

LY%

20.80 %

RBC

3.55 ×10^12 /L

MONO%

7.40

HGB

113 g/L

PLT

222 ×10^9 /L

Date

2023-10-05 yyyy-mm-dd

4.3.D-dimer test

D-dimer

D-dimer

0.39

Date of test

2023-20-05 yyyy-mm-dd

4.4.Visual Analogue Scale

Pain Visual Analogue Score

very slight pain
/
very slight pain

5.Management system of participants

sample collection

Collected

Volume

1 ml

Time of collection

2023-10-04 yyyy-mm-dd-hh-min.

Label Number of the sample

0500-34200

6.ADR/ADE management system

Is there any adverse event?

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)