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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

2024-1-31 yyyy-mm-dd

2.Baseline
2.1.Medical History

1年前久坐后间断腰痛,1个月前间断骶髂关节痛 小时

久坐

Average times of menstrual onset a year

12 次/年

Average menstrual cycle

33 天(days)

Menarche time

11 岁(years)

The time of last Menstruation

2024-1-21 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

斜视

Date of the confirmation or the surgery

2018年斜视矫治术 年/月/日(yyyy-mm-dd)

Date

2024-2-1 yyyy-mm-dd

2.2.General information

Date of signing the informed consent

2024-1-31

Date of birth

2005-4-8 yyyy-mm-dd

Age

18 Years

Education background

Middle 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

Normal

Description in detail for abnormal

--

Right side

Abnormal

Description in detail for abnormal

有囊肿,7*8*8cm。

Weight

72 kg

Hight

1670 mm

Systolic pressure (SP)

129 mmHg

Diastolic pressure

87 mmHg

Temperature

36.2 degree Celsius

Pulse rate

100 次/分

Breath frequency

23 次/分

Doctor signature

刘义彬

Date

2024-1-31 yyyy-mm-dd

2.4.Blood Routine Tests

WBC

6.80 ×109 /L

NEUT%

52.40 %

LY%

37.00 %

MONO%

5.46

RBC

3.90 ×10^12 /L

HGB

116 g/L

PLT

291 ×10^9 /L

Researcher signature

刘义彬

Date

2024-2-1 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

11.9 U/L

AST

16.2 U/L

GGT/γ-GT

12.0 U/L

ALP

35.1 U/L

TBIL

12.40 μmol/L

DBIL

3.70 μmol/L

IBIL

8.70 μmol/L

ALB

41.5 g/L

UA

260.0 umol/L

UREA

3.60 mmol/L

TC

未查 mmol/L

Cr

46.0 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

4.39 mmol/L

Na

141.8 mmol/L

Cl

105.5 mmol/L

Ca

2.23 mmol/L

Glu

未查 mmol/L

Date

2024-2-1 yyyy-mm-dd

2.7.Coagulation Function Tests

Prothrombin time

12.5

Thrombin time (TT)

15.9

Activated partial thromboplastin time (APTT)

32.5

Fibrinogen (FIB)

2.27 g/L

Date of examination

2024-2-1 yyyy-mm-dd

2.8.HBV/HCV/HIV/Syphilis Markers Test

HBV

Negative

HCV

Negative

Negtive

Negative

Date of test

2024-2-1 yyyy-mm-dd

2.9.Blood Gas Analysis

Date of examination

2024-2-2 (yyyy-mm-dd)

LAC

0.88 mmol/L

SBE

0.3 mmol/l

HCO3

24.9 mmol/l

SO2

98.4

P02

327.5 mmHg

PCO2

39.9 mmHg

PH

7.413

2.10.D-dimer Test

0.05

2.11.HCG Test

未查 mIU/mL

Urine HCG

Not detected

2.12.Visual Analogue Scale

Pain Visual Analogue Score

Occasionally very slight pain

2.13.Image Examinations

12

5.66*4.75*4.41 cm*cm*cm

未报告

7.30 cm

左侧2.68*2.21cm;右侧7.73*6.02cm cm

Date of examination

2024-1-20 yyyy-mm-dd

Abdomen CT examination

Normal

Description in detail for abnormal

--

Date of examination

2024-2-2 yyyy-mm-dd

妇科超声提示暗区内缘可见1.09*0.93*0.87cm强回声突起;盆腔核磁提示良性可能性大,术中冰冻为良性。

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

右卵巢

7cm cm

-- °

decollement

刘义彬

2024-2-2

4.Follow-up
4.1.Physical examination

BG Puncture site

Temperature

Systolic pressure (SP)

mmHg

Diastolic pressure (DP)

mmHg

Heart Rate, HR

次/分

Blood pressure

mmHg

4.2.Blood Routine Test

WBC

×109 /L

NEUT%

%

LY%

%

MONO%

RBC

×10^12 /L

HGB

g/L

PLT

×10^9 /L

Date

yyyy-mm-dd

4.3.D-dimer test

D-dimer

D-dimer

Date of test

yyyy-mm-dd

4.4.Visual Analogue Scale

Pain Visual Analogue Score

5.Management system of participants

sample collection

Volume

ml

Time of collection

yyyy-mm-dd-hh-min.

Label Number of the sample

6.ADR/ADE management system

Is there any adverse event?

Severity

Within 30 minites or not?

Begin time at

年/月/日(yyyy-mm-dd)

Time of stop

年/月/日(yyyy-mm-dd)