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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

2024-06-10 yyyy-mm-dd

2.Baseline
2.1.Medical History

间断半个月 小时

Average times of menstrual onset a year

11 次/年

Average menstrual cycle

35 天(days)

Menarche time

13 岁(years)

The time of last Menstruation

2024-05-31 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

2024-6-11 yyyy-mm-dd

2.2.General information

Date of signing the informed consent

2024-6-10

Date of birth

2002-12-07 yyyy-mm-dd

Age

21 Years

Education background

University

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

Abnormal

Description in detail for abnormal

有囊肿

Right side

Not examined

Description in detail for abnormal

--

Weight

69.4 kg

Hight

172 mm

Systolic pressure (SP)

110 mmHg

Diastolic pressure

73 mmHg

Temperature

36.4 degree Celsius

Pulse rate

64 次/分

Breath frequency

22 次/分

Doctor signature

刘义彬

Date

2024-6-10 yyyy-mm-dd

2.4.Blood Routine Tests

WBC

7.40 ×109 /L

NEUT%

53.86 %

LY%

37.99 %

MONO%

6.43

RBC

4.56 ×10^12 /L

HGB

131 g/L

PLT

234 ×10^9 /L

Researcher signature

刘义彬

Date

2024-6-11 yyyy-mm-dd

2.5.Urine Routine Test

Acidity and allkalinity

Acidity

pH value

5.5

Urine protein

Negative

Urine red cell

Negative

Urine WBC

Negative

Urine glucos

Negative

Urine Bilirubin

Negative

Urine HCG

Negative

KET

Negative

SG

1.038

UBG

Negative

NIT

Negative

Date of test

2024-6-11 yyyy-mm-dd

2.6.Blood Biochemical items Tests

ALT

8.2 U/L

AST

15.0 U/L

GGT/γ-GT

7.3 U/L

ALP

63.2 U/L

TBIL

13.6 μmol/L

DBIL

4.2 μmol/L

IBIL

9.40 μmol/L

ALB

43.3 g/L

UA

327 umol/L

UREA

5.4 mmol/L

TC

-- mmol/L

Cr

62.0 umol/L

TG

-- mmol/L

HDL

-- mmol/L

LDL

-- mmol/L

CK

-- U/L

CK-MB

-- U/L

LDH

-- U/L

K

3.94 mmol/L

Na

140.3 mmol/L

Cl

105.3 mmol/L

Ca

2.44 mmol/L

Glu

4.62 mmol/L

Date

2024-6-11 yyyy-mm-dd

2.7.Coagulation Function Tests

Prothrombin time

11.6

Thrombin time (TT)

15.4

Activated partial thromboplastin time (APTT)

32.9

Fibrinogen (FIB)

2.93 g/L

Date of examination

2024-6-11 yyyy-mm-dd

2.8.HBV/HCV/HIV/Syphilis Markers Test

HBV

Negative

HCV

Negative

Negtive

Negative

Date of test

2024-6-11 yyyy-mm-dd

2.9.Blood Gas Analysis

Date of examination

2024-6-12 (yyyy-mm-dd)

LAC

1.15 mmol/L

SBE

-5.2 mmol/l

HCO3

19.7 mmol/l

SO2

99.5

P02

264.3 mmHg

PCO2

36.1 mmHg

PH

7.354

2.10.D-dimer Test

0.07

2.11.HCG Test

-- mIU/mL

Urine HCG

Not detected

2.12.Visual Analogue Scale

Pain Visual Analogue Score

Some of pain

2.13.Image Examinations

12

3.0*3.57*2.87 cm*cm*cm

未报告

12.01*11.26*9.38 cm

左侧2.74*1.38 cm

Date of examination

2024-6-8 yyyy-mm-dd

Abdomen CT examination

Normal

Description in detail for abnormal

--

Date of examination

2024-6-11 yyyy-mm-dd

--

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

右卵巢

12 cm

0 °

decollement

刘义彬

2024-6-13

4.Follow-up
4.1.Physical examination

BG Puncture site

No

Temperature

36.6

Systolic pressure (SP)

113 mmHg

Diastolic pressure (DP)

65 mmHg

Heart Rate, HR

88 次/分

Blood pressure

113/65 mmHg

4.2.Blood Routine Test

WBC

8 ×109 /L

NEUT%

66.09 %

LY%

24.13 %

MONO%

8.7

RBC

3.99 ×10^12 /L

HGB

115 g/L

PLT

215 ×10^9 /L

Date

2024-6-13 yyyy-mm-dd

4.3.D-dimer test

D-dimer

D-dimer

0.16

Date of test

2024-6-13 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

2024-6-12 yyyy-mm-dd-hh-min.

Label Number of the sample

2604665

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)