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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

2024-1-28 yyyy-mm-dd

2.Baseline
2.1.Medical History

间断2年 小时

活动后

Average times of menstrual onset a year

12 次/年

Average menstrual cycle

30 天(days)

Menarche time

12 岁(years)

The time of last Menstruation

2024-1-26 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

剖宫产

Date of the confirmation or the surgery

2014 年/月/日(yyyy-mm-dd)

Date

2024-1-29 yyyy-mm-dd

2.2.General information

Date of signing the informed consent

2024-1-28

Date of birth

1992-10-20 yyyy-mm-dd

Age

31 Years

Education background

Middle school

Occupation

Unemployed

Other (Description)

--

2.3.Physical examination

Vulva

Normal

Description in detail for abnormal

--

Vagina

Normal

Description in detail for abnormal

--

Uterine neck

Abnormal

Description in detail for abnormal

轻度糜烂样改变

Corpus uteri

Normal

Description in detail for abnormal

--

Adnexa uteri

Left side

Abnormal

Description in detail for abnormal

3.55cm暗区,内见弱网格状强回声。旁探及7.43*5.96*5.20cm液性包块。

Right side

Normal

Description in detail for abnormal

--

Weight

51 kg

Hight

1620 mm

Systolic pressure (SP)

118 mmHg

Diastolic pressure

80 mmHg

Temperature

36.6 degree Celsius

Pulse rate

80 次/分

Breath frequency

20 次/分

Doctor signature

刘义彬

Date

2024-1-28 yyyy-mm-dd

2.4.Blood Routine Tests

WBC

3.22 ×109 /L

NEUT%

50.70 %

LY%

41.60 %

MONO%

4.00

RBC

4.29 ×10^12 /L

HGB

129 g/L

PLT

261 ×10^9 /L

Researcher signature

刘义彬

Date

2024-1-29 yyyy-mm-dd

2.5.Urine Routine Test

Acidity and allkalinity

Acidity

pH value

6.0

Urine protein

Negative

Urine red cell

Suspending

Urine WBC

Negative

Urine glucos

Negative

Urine Bilirubin

Negative

Urine HCG

Negative

KET

Negative

SG

1.025

UBG

Negative

NIT

Negative

Date of test

2024-1-29 yyyy-mm-dd

2.6.Blood Biochemical items Tests

ALT

9.0 U/L

AST

12.0 U/L

GGT/γ-GT

11.0 U/L

ALP

36.0 U/L

TBIL

10.13 μmol/L

DBIL

3.49 μmol/L

IBIL

6.64 μmol/L

ALB

41.3 g/L

UA

254.0 umol/L

UREA

5.13 mmol/L

Cr

54.0 umol/L

TC

4.14 mmol/L

TG

0.73 mmol/L

HDL

1.65 mmol/L

LDL

2.00 mmol/L

CK

-- U/L

CK-MB

-- U/L

LDH

-- U/L

K

3.87 mmol/L

Na

141.2 mmol/L

Cl

106.3 mmol/L

Ca

2.27 mmol/L

Glu

4.76 mmol/L

Date

2024-1-29 yyyy-mm-dd

2.7.Coagulation Function Tests

Prothrombin time

12.9

Thrombin time (TT)

16.6

Activated partial thromboplastin time (APTT)

29.9

Fibrinogen (FIB)

1.69 g/L

Date of examination

2024-1-29 yyyy-mm-dd

2.8.HBV/HCV/HIV/Syphilis Markers Test

HBV

Negative

HCV

Negative

Negtive

Negative

Date of test

2024-1-29 yyyy-mm-dd

2.9.Blood Gas Analysis

LAC

0.84 mmol/L

Date of examination

2024-1-30 (yyyy-mm-dd)

SBE

-0.6 mmol/l

HCO3

23.1 mmol/l

SO2

98.6

P02

395.3 mmHg

PCO2

35.2 mmHg

PH

7.435

2.10.D-dimer Test

0.10

2.11.HCG Test

-- mIU/mL

Urine HCG

Not detected

2.12.Visual Analogue Scale

Pain Visual Analogue Score

Occasionally very slight pain

2.13.Image Examinations

28

5.94*5.77*5.19 cm*cm*cm

未报告

7.43*5.96*5.20 cm

左侧4.57*5.20;右侧2.38*2.04 cm

Date of examination

2024-1-24 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

左侧输卵管系膜

10*10*8 cm

-- °

decollement

刘义彬

2024-1-30

4.Follow-up
4.1.Physical examination

BG Puncture site

No

Temperature

36.4

Systolic pressure (SP)

104 mmHg

Diastolic pressure (DP)

81 mmHg

Heart Rate, HR

80 次/分

Blood pressure

104/81 mmHg

4.2.Blood Routine Test

WBC

7.10 ×109 /L

NEUT%

70.53 %

LY%

23.69 %

RBC

4.07 ×10^12 /L

MONO%

5.29

HGB

124 g/L

PLT

244 ×10^9 /L

Date

2024-1-31 yyyy-mm-dd

4.3.D-dimer test

D-dimer

D-dimer

0.14

Date of test

2024-2-1 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

2024-1-30 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)