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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

2024-1-26 yyyy-mm-dd

2.Baseline
2.1.Medical History

2 小时

Average times of menstrual onset a year

11 次/年

Average menstrual cycle

35 天(days)

Menarche time

12 岁(years)

The time of last Menstruation

2023-12-30 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

2024-1-26 yyyy-mm-dd

2.2.General information

Date of signing the informed consent

2024-1-26

Date of birth

1998-2-6 yyyy-mm-dd

Age

25 Years

Education background

University

Occupation

Other

Other (Description)

职员

2.3.Physical examination

Vulva

Normal

Description in detail for abnormal

--

Vagina

Normal

Description in detail for abnormal

--

Uterine neck

Not examined

Description in detail for abnormal

光滑右举痛

Corpus uteri

Not examined

Description in detail for abnormal

正常大小有压痛

Adnexa uteri

Left side

Normal

Description in detail for abnormal

--

Right side

Abnormal

Description in detail for abnormal

有压痛

Weight

52 kg

Hight

1630 mm

Systolic pressure (SP)

135 mmHg

Diastolic pressure

84 mmHg

Temperature

37.6 degree Celsius

Pulse rate

84 次/分

Breath frequency

21 次/分

Doctor signature

刘义彬

Date

2024-1-26 yyyy-mm-dd

2.4.Blood Routine Tests

WBC

16.00 ×109 /L

NEUT%

83.58 %

LY%

10.46 %

MONO%

5.58

RBC

4.37 ×10^12 /L

HGB

114 g/L

PLT

348 ×10^9 /L

Researcher signature

刘义彬

Date

2024-1-26 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

未查 yyyy-mm-dd

2.6.Blood Biochemical items Tests

ALT

17.2 U/L

AST

25.9 U/L

GGT/γ-GT

14.0 U/L

ALP

1.08 U/L

TBIL

8.40 μmol/L

DBIL

2.70 μmol/L

IBIL

5.70 μmol/L

ALB

43.7 g/L

UA

199.0 umol/L

UREA

2.60 mmol/L

TC

未查 mmol/L

Cr

60.0 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

4.31 mmol/L

Na

138.1 mmol/L

Cl

101.6 mmol/L

Ca

2.36 mmol/L

Glu

未查 mmol/L

Date

2024-1-26 yyyy-mm-dd

2.7.Coagulation Function Tests

Prothrombin time

12.7

Thrombin time (TT)

16.0

Activated partial thromboplastin time (APTT)

27.2

Fibrinogen (FIB)

1.85 g/L

Date of examination

2024-1-26 yyyy-mm-dd

2.8.HBV/HCV/HIV/Syphilis Markers Test

HBV

Negative

HCV

Negative

Negtive

Negative

Date of test

2024-1-26 yyyy-mm-dd

2.9.Blood Gas Analysis

Date of examination

2024-1-26 (yyyy-mm-dd)

LAC

1.65 mmol/L

SBE

-2.1 mmol/l

HCO3

21.5 mmol/l

SO2

99.2

P02

298.5 mmHg

PCO2

33.1 mmHg

PH

7.431

2.10.D-dimer Test

0.13

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

27

4.81*4.76*4.13 cm*cm*cm

未报告

3 cm

左侧2.90*1.94cm 右侧4.79*3.11cm cm

Date of examination

2024-1-26 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

右卵巢

3 cm

°

suture

刘义彬

2024-1-26

4.Follow-up
4.1.Physical examination

BG Puncture site

No

Temperature

37.3

Systolic pressure (SP)

135 mmHg

Diastolic pressure (DP)

84 mmHg

Heart Rate, HR

84 次/分

Blood pressure

135/84 mmHg

4.2.Blood Routine Test

WBC

10.00 ×109 /L

NEUT%

77.82 %

LY%

16.18 %

MONO%

5.47

RBC

3.83 ×10^12 /L

HGB

104 g/L

PLT

288 ×10^9 /L

Date

2024-1-27 yyyy-mm-dd

4.3.D-dimer test

D-dimer

D-dimer

0.35

Date of test

2024-1-27 yyyy-mm-dd

4.4.Visual Analogue Scale

Pain Visual Analogue Score

Occasionally very slight pain
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Occasionally very slight pain

5.Management system of participants

sample collection

Collected

Volume

1 ml

Time of collection

2024-1-26 yyyy-mm-dd-hh-min.

Label Number of the sample

0500-38231

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)