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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

2024-2-18 yyyy-mm-dd

2.Baseline
2.1.Medical History

间断3天。 小时

Average times of menstrual onset a year

12 次/年

Menarche time

14 岁(years)

Average menstrual cycle

30 天(days)

The time of last Menstruation

2024-2-7 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

2024-2-20 yyyy-mm-dd

2.2.General information

Date of signing the informed consent

2024-2-18

Date of birth

1988-11-11 yyyy-mm-dd

Age

35 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

增厚

Right side

Normal

Description in detail for abnormal

--

Weight

60 kg

Hight

1580 mm

Systolic pressure (SP)

125 mmHg

Diastolic pressure

84 mmHg

Temperature

36.5 degree Celsius

Pulse rate

92 次/分

Breath frequency

23 次/分

Doctor signature

刘义彬

Date

2024-2-18 yyyy-mm-dd

2.4.Blood Routine Tests

WBC

8.6 ×109 /L

NEUT%

66.65 %

LY%

24.24 %

MONO%

7.10

RBC

4.37 ×10^12 /L

HGB

136 g/L

PLT

270 ×10^9 /L

Researcher signature

刘义彬

Date

2024-2-19 yyyy-mm-dd

2.5.Urine Routine Test

Acidity and allkalinity

alkalinity

pH value

7

Urine protein

Negative

Urine red cell

Negative

Urine WBC

Negative

Urine glucos

Negative

Urine Bilirubin

Negative

Urine HCG

KET

Negative

SG

1.023

UBG

Negative

NIT

Negative

Date of test

2024-2-19 yyyy-mm-dd

2.6.Blood Biochemical items Tests

ALT

6.0 U/L

AST

13.3 U/L

GGT/γ-GT

21.0 U/L

ALP

61.6 U/L

TBIL

19.6 μmol/L

DBIL

5.3 μmol/L

IBIL

14.3 μmol/L

ALB

39.4 g/L

UA

302 umol/L

UREA

2.80 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

55 U/L

CK-MB

3.0 U/L

LDH

107.0 U/L

K

4.86 mmol/L

Na

140.9 mmol/L

Cl

106.2 mmol/L

Ca

2.26 mmol/L

Glu

5.35 mmol/L

Date

2024-2-19 yyyy-mm-dd

2.7.Coagulation Function Tests

Prothrombin time

11.2

Thrombin time (TT)

13.6

Activated partial thromboplastin time (APTT)

29.1

Fibrinogen (FIB)

2.95 g/L

Date of examination

2024-2-19 yyyy-mm-dd

2.8.HBV/HCV/HIV/Syphilis Markers Test

HBV

Negative

HCV

Negative

Negtive

Negative

Date of test

2024-2-19 yyyy-mm-dd

2.9.Blood Gas Analysis

Date of examination

2024-2-22 (yyyy-mm-dd)

HCO3

23.5 mmol/l

SO2

99.4

LAC

1.35 mmol/L

SBE

-1.2 mmol/l

P02

239.8 mmHg

PCO2

39.0 mmHg

PH

7.397

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

Occasionally very slight pain

2.13.Image Examinations

11

4.95*5.1*4.59 cm*cm*cm

未报告

左侧3.78*2.91*2.59 cm

右侧3.29*1.5 左侧3.78*2.59 cm

Date of examination

2024-2-18 yyyy-mm-dd

Abdomen CT examination

Not tested

Description in detail for abnormal

--

Date of examination

2024-2-18 yyyy-mm-dd

--

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

左附件

3.78*2.91*2.59 cm

°

excision

刘义彬

2024-2-22

4.Follow-up
4.1.Physical examination

BG Puncture site

No

Temperature

37.2

Systolic pressure (SP)

未查 mmHg

Diastolic pressure (DP)

未查 mmHg

Heart Rate, HR

88 次/分

Blood pressure

未查 mmHg

4.2.Blood Routine Test

WBC

9.5 ×109 /L

NEUT%

68.71 %

LY%

19.49 %

MONO%

10.48

RBC

3.98 ×10^12 /L

HGB

126 g/L

PLT

251 ×10^9 /L

Date

2024-2-23 yyyy-mm-dd

4.3.D-dimer test

D-dimer

D-dimer

0.16

Date of test

2024-2-23 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

2024-2-22 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)