{"id":8873,"date":"2025-06-12T15:08:39","date_gmt":"2025-06-12T07:08:39","guid":{"rendered":"https:\/\/wp-cc.meddatas.com\/?p=8873"},"modified":"2025-09-16T13:44:45","modified_gmt":"2025-09-16T05:44:45","slug":"20230901-%e6%9e%97%e5%a9%89%e5%a9%b7-a-15-year-old-girl-with-abdominal-pain-and-an-ovarian-mass-2","status":"publish","type":"post","link":"https:\/\/wp-cc.meddatas.com\/?p=8873","title":{"rendered":"\u3010Case Listen and Say\u30112023-N Engl J Med- A 15-Year-Old Girl with Abdominal Pain and an Ovarian Mass"},"content":{"rendered":"<p style=\"text-align: center;\"><strong>\u6c47\u62a5\u4eba\uff1a\u6797\u5a49\u5a77\uff1b\u6c47\u62a5\u65f6\u95f4\uff1a2023.09.01<\/strong><\/p>\n<p><img loading=\"lazy\" class=\" wp-image-8881 aligncenter\" src=\"https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2025\/06\/\u6797\u5a49\u5a77.jpg\" alt=\"\" width=\"800\" height=\"361\" srcset=\"https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2025\/06\/\u6797\u5a49\u5a77.jpg 1636w, https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2025\/06\/\u6797\u5a49\u5a77-300x135.jpg 300w, https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2025\/06\/\u6797\u5a49\u5a77-1024x462.jpg 1024w, https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2025\/06\/\u6797\u5a49\u5a77-768x346.jpg 768w, https:\/\/wp-cc.meddatas.com\/wp-content\/uploads\/2025\/06\/\u6797\u5a49\u5a77-1536x693.jpg 1536w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p>\n<p style=\"text-align: center;\"><strong><b>A 15-Year-Old Girl with Abdominal Pain and an Ovarian Mass<\/b><\/strong><strong><b>\u00a0<\/b><\/strong><strong><b>N Engl J Med 2023;389:750-8<\/b><\/strong><strong><b>\u00a0(<\/b><\/strong><strong><b>DOI:10.1056\/NEJMcpc2211422<\/b><\/strong><strong><b>)<\/b><\/strong><\/p>\n<ul>\n<li><b><\/b><strong><b>\u75c5\u53f2<\/b><\/strong><\/li>\n<\/ul>\n<p>\u60a3\u8005\uff0c15\u5c81\u5973\u5b69\uff0c\u56e0\u4e0b\u8179\u90e8\u75bc\u75db6\u5468\u5c31\u8bca\uff0c\u5f71\u50cf\u5b66\u68c0\u67e5\u663e\u793a\u53f3\u4fa7\u5375\u5de2\u6709\u4e00\u4e2a\u590d\u6742\u7684\u539a\u58c1\u56ca\u80bf\u3002\u5c3d\u7ba1\u521d\u6b65\u8bca\u65ad\u4e3a\u5375\u5de2\u56ca\u80bf\u7834\u88c2\uff0c\u4f46\u75bc\u75db\u57286\u5468\u540e\u590d\u53d1\uff0c\u4e14\u5f71\u50cf\u5b66\u68c0\u67e5\u53d1\u73b0\u4e86\u4e00\u4e2a\u5de8\u5927\u7684\u5f02\u8d28\u6027\u80bf\u5757\uff0c\u4f34\u6709\u8179\u6c34\u3002\u533b\u751f\u6000\u7591\u60a3\u8005\u53ef\u80fd\u60a3\u6709\u5375\u5de2\u80bf\u7624\uff0c\u5e76\u8fdb\u884c\u4e86\u8fdb\u4e00\u6b65\u7684\u5f71\u50cf\u5b66\u68c0\u67e5\uff0c\u5305\u62ecCT\u548cMRI\uff0c\u786e\u8ba4\u4e86\u80bf\u5757\u7684\u5b58\u5728\u53ca\u5176\u5bf9\u5468\u56f4\u5668\u5b98\u7684\u538b\u8feb\uff0c\u884c\u624b\u672f\u5207\u9664\u3002<\/p>\n<ul>\n<li><b><\/b><strong><b>\u9274\u522b\u8bca\u65ad<\/b><\/strong><\/li>\n<\/ul>\n<p>\u591a\u79cd\u5375\u5de2\u80bf\u7624\u7684\u53ef\u80fd\u6027\uff0c\u5305\u62ec\u4e0a\u76ae\u7ec6\u80de\u80bf\u7624\u3001\u751f\u6b96\u7ec6\u80de\u80bf\u7624\u548c\u6027\u7d22\u95f4\u8d28\u80bf\u7624\u3002\u7531\u4e8e\u60a3\u8005\u7684\u5e74\u9f84\u548c\u5f71\u50cf\u5b66\u7279\u5f81\uff0c\u533b\u751f\u6392\u9664\u4e86\u4e0a\u76ae\u7ec6\u80de\u80bf\u7624\u548c\u67d0\u4e9b\u751f\u6b96\u7ec6\u80de\u80bf\u7624\u7684\u53ef\u80fd\u6027\uff0c\u6700\u7ec8\u6000\u7591\u60a3\u8005\u53ef\u80fd\u60a3\u6709\u6027\u7d22\u95f4\u8d28\u80bf\u7624\u4e2d\u7684\u5e7c\u5e74\u578b\u9897\u7c92\u7ec6\u80de\u7624\u3002<\/p>\n<p><strong><b>\u75c5\u7406\u8bca\u65ad\u4e0e\u6cbb\u7597<\/b><\/strong><\/p>\n<p>\u624b\u672f\u5207\u9664\u540e\uff0c\u75c5\u7406\u68c0\u67e5\u786e\u8ba4\u4e86\u5e7c\u5e74\u578b\u9897\u7c92\u7ec6\u80de\u7624\u7684\u8bca\u65ad\u3002\u5e7c\u5e74\u578b\u9897\u7c92\u7ec6\u80de\u7624\u662f\u4e00\u79cd\u7f55\u89c1\u7684\u5375\u5de2\u80bf\u7624\uff0c\u5e38\u89c1\u4e8e\u9752\u5c11\u5e74\uff0c\u901a\u5e38\u8868\u73b0\u4e3a\u5355\u4fa7\u80bf\u5757\uff0c\u4f34\u6709\u8179\u6c34\u548c\u80bf\u7624\u5185\u51fa\u8840\u3002\u60a3\u8005\u672f\u540e\u6062\u590d\u826f\u597d\uff0c\u6708\u7ecf\u521d\u6f6e\u4e5f\u5728\u672f\u540e\u4e00\u4e2a\u6708\u51fa\u73b0\u3002\u7531\u4e8e\u80bf\u7624\u5305\u819c\u7834\u88c2\uff0c\u533b\u751f\u51b3\u5b9a\u8fdb\u884c\u5bc6\u5207\u968f\u8bbf\uff0c\u6682\u4e0d\u8fdb\u884c\u5316\u7597\u3002<\/p>\n<p><strong><b>\u8ba8\u8bba\u4e0e\u7ba1\u7406<\/b><\/strong><\/p>\n<p>\u5e7c\u5e74\u578b\u9897\u7c92\u7ec6\u80de\u7624\u7684\u6cbb\u7597\u901a\u5e38\u4ee5\u624b\u672f\u4e3a\u4e3b\uff0c\u9884\u540e\u826f\u597d\u3002\u7136\u800c\uff0c\u5982\u679c\u80bf\u7624\u6269\u6563\u5230\u8179\u819c\u3001\u6dcb\u5df4\u7ed3\u6216\u5176\u4ed6\u5668\u5b98\uff0c\u5219\u9700\u8981\u5316\u7597\u3002\u5c3d\u7ba1\u8be5\u60a3\u8005\u7684\u80bf\u7624\u5305\u819c\u7834\u88c2\uff0c\u4f46\u6ca1\u6709\u660e\u786e\u7684\u80bf\u7624\u6269\u6563\u8bc1\u636e\uff0c\u56e0\u6b64\u533b\u751f\u51b3\u5b9a\u8fdb\u884c\u5bc6\u5207\u968f\u8bbf\uff0c\u5b9a\u671f\u8fdb\u884c\u5f71\u50cf\u5b66\u548c\u5b9e\u9a8c\u5ba4\u68c0\u67e5\uff0c\u4ee5\u76d1\u6d4b\u662f\u5426\u6709\u590d\u53d1\u8ff9\u8c61\u3002<\/p>\n<p><strong><b>\u7ed3\u8bba<\/b><\/strong><\/p>\n<p>\u8be5\u75c5\u4f8b\u5c55\u793a\u4e86\u5e7c\u5e74\u578b\u9897\u7c92\u7ec6\u80de\u7624\u7684\u5178\u578b\u4e34\u5e8a\u8868\u73b0\u3001\u8bca\u65ad\u548c\u6cbb\u7597\u3002\u5c3d\u7ba1\u80bf\u7624\u5305\u819c\u7834\u88c2\u589e\u52a0\u4e86\u590d\u53d1\u98ce\u9669\uff0c\u4f46\u901a\u8fc7\u5bc6\u5207\u968f\u8bbf\u548c\u5b9a\u671f\u68c0\u67e5\uff0c\u60a3\u8005\u6709\u671b\u83b7\u5f97\u826f\u597d\u7684\u957f\u671f\u9884\u540e\u3002<\/p>\n<p>\u64b0\u7a3f\u4eba\uff1a\u6797\u5a49\u5a77<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u6c47\u62a5\u4eba\uff1a\u6797\u5a49\u5a77\uff1b\u6c47\u62a5\u65f6\u95f4\uff1a2023.09.01 A 15-Year-Old Girl with Abdomin &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/wp-cc.meddatas.com\/?p=8873\"> <span class=\"screen-reader-text\">\u3010Case Listen and Say\u30112023-N Engl J Med- A 15-Year-Old Girl with Abdominal Pain and an Ovarian Mass<\/span> \u67e5\u770b\u5168\u6587 &raquo;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[131],"tags":[],"_links":{"self":[{"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/posts\/8873"}],"collection":[{"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8873"}],"version-history":[{"count":3,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/posts\/8873\/revisions"}],"predecessor-version":[{"id":9028,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=\/wp\/v2\/posts\/8873\/revisions\/9028"}],"wp:attachment":[{"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8873"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8873"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/wp-cc.meddatas.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8873"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}