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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

2024-1-19 yyyy-mm-dd

2.Baseline
2.1.Medical History

6 小时

Average times of menstrual onset a year

10 次/年

Average menstrual cycle

36 天(days)

Menarche time

14 岁(years)

The time of last Menstruation

2023-12-19 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

-- 年/月/日(yyyy-mm-dd)

Date

2024-1-19 yyyy-mm-dd

2.2.General information

Date of signing the informed consent

2024-1-19

Date of birth

2000-12-17 yyyy-mm-dd

Age

23 Years

Education background

Post graduated

Occupation

IT staff

Other (Description)

20天前间断腹痛

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

Normal

Description in detail for abnormal

--

Right side

Abnormal

Description in detail for abnormal

右6cm大小囊肿,压痛欠活动。

Weight

47 kg

Hight

1680 mm

Systolic pressure (SP)

90 mmHg

Diastolic pressure

61 mmHg

Temperature

36.2 degree Celsius

Pulse rate

80 次/分

Breath frequency

20 次/分

Doctor signature

刘义彬

Date

2024-1-19 yyyy-mm-dd

2.4.Blood Routine Tests

WBC

15.80 ×109 /L

NEUT%

94.93 %

LY%

2.55 %

MONO%

2.43

RBC

4.45 ×10^12 /L

HGB

130 g/L

PLT

206 ×10^9 /L

Researcher signature

刘义彬

Date

2024-1-19 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

--- yyyy-mm-dd

2.6.Blood Biochemical items Tests

ALT

13.3 U/L

AST

20.4 U/L

GGT/γ-GT

12.0 U/L

ALP

50.9 U/L

TBIL

13.50 μmol/L

DBIL

3.50 μmol/L

IBIL

10.0 μmol/L

ALB

42.8 g/L

UA

247.0 umol/L

UREA

3.70 mmol/L

TC

未查 mmol/L

Cr

55.0 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

4.18 mmol/L

Na

139.8 mmol/L

Cl

103.2 mmol/L

Ca

2.36 mmol/L

Glu

4.18 mmol/L

Date

2024-1-19 yyyy-mm-dd

2.7.Coagulation Function Tests

Prothrombin time

11.4

Thrombin time (TT)

13.8

Activated partial thromboplastin time (APTT)

30.8

Fibrinogen (FIB)

3.59 g/L

Date of examination

2024-1-19 yyyy-mm-dd

2.8.HBV/HCV/HIV/Syphilis Markers Test

HBV

Negative

HCV

Negative

Negtive

Negative

Date of test

2024-1-19 yyyy-mm-dd

2.9.Blood Gas Analysis

Date of examination

2024-1-19 (yyyy-mm-dd)

LAC

0.81 mmol/L

SBE

-3.1 mmol/l

P02

303.9 mmHg

PCO2

37.6 mmHg

HCO3

211.6 mmol/l

SO2

98.6

PH

7.377

2.10.D-dimer Test

0.29

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

33

4.36*5.61*4.33 cm*cm*cm

未报告

6.5 cm

左2.81*1.51cm 右7.32*4.56 cm

Date of examination

2024-1-19 yyyy-mm-dd

Abdomen CT examination

Abnormal with clinical significance

Description in detail for abnormal

右侧附件区团块高密度影,考虑血肿

Date of examination

2024-1-19 yyyy-mm-dd

--

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

右卵巢巧囊

7*7*6 cm

0 °

decollement

刘义彬

2024-1-20

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

13.3 ×109 /L

NEUT%

89.57 %

LY%

6.16 %

MONO%

3.95

RBC

3.95 ×10^12 /L

HGB

116 g/L

PLT

190 ×10^9 /L

Date

2024-1-20 yyyy-mm-dd

4.3.D-dimer test

D-dimer

D-dimer

0.33

Date of test

2024-1-20 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

2024-1-19 yyyy-mm-dd-hh-min.

Label Number of the sample

0500-34200

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)