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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

2024-2-8 yyyy-mm-dd

2.Baseline
2.1.Medical History

10 小时

Average times of menstrual onset a year

12 次/年

Average menstrual cycle

30 天(days)

Menarche time

15 岁(years)

The time of last Menstruation

2024-1-12 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

小三阳

Date of the confirmation or the surgery

8年 年/月/日(yyyy-mm-dd)

Date

2024-2-8 yyyy-mm-dd

2.2.General information

Date of signing the informed consent

2024-2-8

Date of birth

1982-2-23 yyyy-mm-dd

Age

41 Years

Education background

Middle school

Occupation

Famer

Other (Description)

2.3.Physical examination

Vulva

Normal

Description in detail for abnormal

--

Vagina

Abnormal

Description in detail for abnormal

可见血迹

Uterine neck

Normal

Description in detail for abnormal

--

Corpus uteri

Abnormal

Description in detail for abnormal

偏右

Adnexa uteri

Left side

Description in detail for abnormal

子宫后方12.86*9.59*7.2cm混合包块,内部分为强回声。

Right side

Description in detail for abnormal

--

Weight

65 kg

Hight

1600 mm

Systolic pressure (SP)

160 mmHg

Diastolic pressure

98 mmHg

Temperature

36.3 degree Celsius

Pulse rate

66 次/分

Breath frequency

17 次/分

Doctor signature

刘义彬

Date

2024-2-8 yyyy-mm-dd

2.4.Blood Routine Tests

WBC

9.50 ×109 /L

NEUT%

88.16 %

LY%

8.59 %

RBC

4.37 ×10^12 /L

MONO%

2.92

HGB

137 g/L

PLT

287 ×10^9 /L

Researcher signature

刘义彬

Date

2024-2-8 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

21.9 U/L

AST

22.0 U/L

GGT/γ-GT

13.0 U/L

ALP

71.2 U/L

TBIL

16.60 μmol/L

DBIL

3.80 μmol/L

IBIL

12.80 μmol/L

ALB

45.8 g/L

UA

214.0 umol/L

UREA

3.80 mmol/L

Cr

59.0 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

未查 mmol/L

Na

未查 mmol/L

Cl

未查 mmol/L

Ca

未查 mmol/L

Glu

6.28 mmol/L

Date

2024-2-8 yyyy-mm-dd

2.7.Coagulation Function Tests

Prothrombin time

11.4

Thrombin time (TT)

13.7

Activated partial thromboplastin time (APTT)

28.4

Fibrinogen (FIB)

3.23 g/L

Date of examination

2024-2-8 yyyy-mm-dd

2.8.HBV/HCV/HIV/Syphilis Markers Test

HBV

Positive

HCV

Negative

Negtive

Negative

Date of test

2024-2-8 yyyy-mm-dd

2.9.Blood Gas Analysis

LAC

1.77 mmol/L

Date of examination

2024-2-8 (yyyy-mm-dd)

SBE

-3.4 mmol/l

HCO3

21.1 mmol/l

SO2

95.4

P02

82.6 mmHg

PCO2

36.0 mmHg

PH

7.385

2.10.D-dimer Test

0.09

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

26

3.8*3.96*3.78 cm*cm*cm

未报告

子宫后方12.86*9.59*7.2cm混合包块 cm

未提示 cm

Date of examination

2024-2-8 yyyy-mm-dd

Abdomen CT examination

Not tested

Description in detail for abnormal

--

Date of examination

未提示 yyyy-mm-dd

--

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

左附件

12*10*8 cm

逆时针540度 °

excision

刘义彬

2024-2-8

4.Follow-up
4.1.Physical examination

BG Puncture site

No

Temperature

36.4

Systolic pressure (SP)

未查 mmHg

Diastolic pressure (DP)

未查 mmHg

Heart Rate, HR

84 次/分

Blood pressure

未查 mmHg

4.2.Blood Routine Test

WBC

7.30 ×109 /L

NEUT%

62.81 %

LY%

25.92 %

MONO%

10.33

RBC

3.71 ×10^12 /L

HGB

121 g/L

PLT

241 ×10^9 /L

Date

2024-2-8 yyyy-mm-dd

4.3.D-dimer test

D-dimer

D-dimer

0.56

Date of test

2024-2-9 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

2024-2-8 2024-2-9 yyyy-mm-dd-hh-min.

Label Number of the sample

2563696

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)