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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

2018-11-21 yyyy-mm-dd

2.Baseline
2.1.Medical History

2天 小时

同房

Average times of menstrual onset a year

12 次/年

Average menstrual cycle

4.5 天(days)

Menarche time

14 岁(years)

The time of last Menstruation

2018-10-24 年、月、日(yyyy-mm-dd)

The time of menstrual onset before the last one

-- 年、月、日(yyyy-mm-dd)

Disease or surgery name

右卵巢囊肿蒂扭转行右卵巢囊肿剥除右侧输卵管切除;左卵巢囊肿剥除左侧输卵管切除

Date of the confirmation or the surgery

1999 2004 年/月/日(yyyy-mm-dd)

Date

2018-11-23 yyyy-mm-dd

2.2.General information

Date of signing the informed consent

2018-11-21

Date of birth

1977-7-14 yyyy-mm-dd

Age

41 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

Normal

Description in detail for abnormal

--

Corpus uteri

Normal

Description in detail for abnormal

--

Adnexa uteri

Left side

Abnormal

Description in detail for abnormal

触及8*7*6cm包块,囊性压痛反跳痛明显

Right side

Normal

Description in detail for abnormal

--

Weight

47 kg

Hight

1560 mm

Systolic pressure (SP)

92 mmHg

Diastolic pressure

61 mmHg

Temperature

36.2 degree Celsius

Pulse rate

74 次/分

Breath frequency

19 次/分

Doctor signature

刘义彬

Date

2018-11-21 yyyy-mm-dd

2.4.Blood Routine Tests

WBC

6.4 ×109 /L

NEUT%

65.60 %

LY%

24.80 %

MONO%

8.50

RBC

3.98 ×10^12 /L

HGB

124 g/L

PLT

162 ×10^9 /L

Researcher signature

刘义彬

Date

2018-11-21 yyyy-mm-dd

2.5.Urine Routine Test

Acidity and allkalinity

Acidity

pH value

7.0

Urine protein

Negative

Urine red cell

Negative

Urine WBC

Negative

Urine glucos

Negative

Urine Bilirubin

Negative

Urine HCG

Negative

KET

Negative

SG

1.005

UBG

Negative

NIT

Negative

Date of test

2018-11-21 yyyy-mm-dd

2.6.Blood Biochemical items Tests

ALT

9.3 U/L

AST

9.5 U/L

GGT/γ-GT

9.0 U/L

ALP

32.0 U/L

TBIL

12.60 μmol/L

DBIL

4.10 μmol/L

IBIL

8.50 μmol/L

ALB

43.3 g/L

UA

229.0 umol/L

UREA

3.30 mmol/L

Cr

47.0 umol/L

TC

4.61 mmol/L

TG

0.88 mmol/L

HDL

1.67 mmol/L

LDL

2.91 mmol/L

CK

52.0 U/L

CK-MB

7.0 U/L

LDH

133.0 U/L

K

3.41 mmol/L

Na

142.2 mmol/L

Cl

105.5 mmol/L

Ca

2.20 mmol/L

Glu

4.47 mmol/L

Date

2018-11-21 yyyy-mm-dd

2.7.Coagulation Function Tests

Prothrombin time

11.6

Thrombin time (TT)

14.4

Activated partial thromboplastin time (APTT)

27.8

Fibrinogen (FIB)

2.88 g/L

Date of examination

2018-11-21 yyyy-mm-dd

2.8.HBV/HCV/HIV/Syphilis Markers Test

HBV

Negative

HCV

Negative

Negtive

Negative

Date of test

2018-11-21 yyyy-mm-dd

2.9.Blood Gas Analysis

HCO3

22.5 mmol/l

SBE

-1.6 mmol/l

LAC

0.97 mmol/L

Date of examination

2018-11-21 (yyyy-mm-dd)

SO2

97.1

P02

92.1 mmHg

PCO2

36.2 mmHg

PH

7.412

2.10.D-dimer Test

0.004

2.11.HCG Test

未查 mIU/mL

Urine HCG

Not detected

2.12.Visual Analogue Scale

Pain Visual Analogue Score

Rather pain tolerable

2.13.Image Examinations

28

5.82*4.72*4.11 cm*cm*cm

未报告

6.3*6.58*4.71 cm

右侧2.76*1.66 cm

Date of examination

2018-11-20 yyyy-mm-dd

Abdomen CT examination

Not tested

Description in detail for abnormal

--

Date of examination

2018-11-21 yyyy-mm-dd

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

左侧附件区可见包块

6*5*5cm cm

°

excision

刘义彬

2018-11-21

4.Follow-up
4.1.Physical examination

BG Puncture site

No

Temperature

38

Systolic pressure (SP)

未查 mmHg

Diastolic pressure (DP)

未查 mmHg

Heart Rate, HR

21 次/分

Blood pressure

未查 mmHg

4.2.Blood Routine Test

WBC

5.60 ×109 /L

NEUT%

71.0 %

LY%

19.50 %

RBC

3.05 ×10^12 /L

MONO%

7.90

HGB

99 g/L

PLT

114 ×10^9 /L

Date

2018-11-22 yyyy-mm-dd

4.3.D-dimer test

D-dimer

D-dimer

未查

Date of test

-- 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

2018-11-21 yyyy-mm-dd-hh-min.

Label Number of the sample

2099479

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)