论文部分内容阅读
例1 女,31岁,1991年11月以男性化肿瘤的诊断收住我院。月经16,3～4/30,量中等,无痛经。1980年结婚,1982年足月生产。其后人工流产2次,未次人工流产为1986年4月。1984年起月经紊乱(10～15/20～25),曾用中药及人工周期治疗。1986年12月起闭经,黄体酮撤退无出血。施以人工周期可来月经。1985年起体毛逐渐增多,从大腿开始逐步发展至下腹、胸部、面部、上下唇及乳房。阴毛、腋毛亦较前增多。近1年来每周需刮胡须1次,同时出现音粗、脱发、痤疮及性欲下降。1986年自觉阴蒂增大,1987年到某医院检查诊断为阴蒂大。1991年7月以来乏力,腹胀痛,外院超声检查示有盆腔包块与废水。既往有风湿病。家族中无类似病史。入院查体:面部皮肤粗糙,痤疮多,上唇下颌胡须
Example 1 Female, 31 years old, November 1991 With a masculine tumor diagnosis admitted to our hospital. Menstruation 16,3 ~ 4/30, the amount of moderate, no dysmenorrhea. Married in 1980, full-term production in 1982. Followed by abortion 2 times, the next artificial abortion in April 1986. Menstrual disorders since 1984 (10 ~ 15/20 ~ 25), who used traditional Chinese medicine and artificial cycle treatment. Amenorrhea since December 1986, progesterone withdrawal without bleeding. Impose artificial cycles can be menstruation. Since 1985, body hair gradually increased from the thigh began to gradually develop to the lower abdomen, chest, face, upper and lower lip and breast. Pubic hair, armpit hair also increased compared with the previous. Nearly a year to be shaved once a week 1, at the same time there is tone thick, hair loss, acne and loss of libido. Conscious clitoral increased in 1986, to a hospital in 1987 for the diagnosis of clitoris. Since July 1991 fatigue, abdominal pain, outside the hospital ultrasound showed pelvic mass and waste water. Past rheumatism. No similar family history. Admission examination: rough facial skin, acne and more, the lower lip beard