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主任医师:今天讨论妊娠期黄疸、腹水、无尿急诊入院患者的诊断和治疗问题,请实习医师报告病实习医师:女,27岁,住院号064620,于1983年10月15日入院。妊娠36周早产37小时,伴有黄疸、腹水、少尿。末次月经1983年2月8日。预产期11月15日。闭经40余天,出现早孕反应,恶心、呕吐、食欲欠佳,历时月余,自然好转。妊娠4个半月自觉胎动。产前曾多次定期检查未发现异常。早产前一周无原因的出现恶心、呕吐逐渐加重,第三天后伴有不规律宫缩,8月11日住某院。当时血压160/100毫米汞柱,下肢浮肿(++)。用25％硫酸镁20毫升肌注6小时一次。于8月14日胎头吸引分娩,产后出血约400毫升。输入同型血500毫升。产后4小时发现全身皮肤轻度黄染、腹水(+)、少尿。病情进展转入我院。既往健康,无烟酒嗜好。26岁与同龄健康男性结婚,无流产史。查体:重病容抬入病房,贫血外观,意识清楚,
Chief Physician: Today to discuss the diagnosis and treatment of jaundice, ascites and urinary urgently admitted patients during pregnancy. Intern Physician Reportedly Intern: Female, 27 years old, hospital number 064620, was admitted on October 15, 1983. 36 weeks of gestation Preterm birth 37 hours, accompanied by jaundice, ascites, oliguria. The last menstruation February 8, 1983. The expected date of delivery is November 15. Amenorrhea for more than 40 days, early pregnancy reaction, nausea, vomiting, poor appetite, which lasted more than a month, natural improvement. 4 and a half months of pregnancy conscious fetal movement. Prenatal many regular inspections found no abnormalities. One week before preterm no reason for nausea, vomiting gradually increased, the third day with irregular contractions, August 11 to live in a hospital. At that time blood pressure 160/100 mmHg, lower extremity edema (++). With 25% magnesium sulfate 20 ml intramuscularly once every 6 hours. In the August 14 fetal head to attract childbirth, postpartum hemorrhage about 400 ml. Enter the same type of blood 500 ml. Four hours postpartum found that the body skin mild yellow dye, ascites (+), oliguria. Disease progression into our hospital. Past health, non-smoking alcohol hobby. 26-year-old healthy men with the same age married, no history of miscarriage. Physical examination: seriously ill into the ward, anemia appearance, awareness,