论文部分内容阅读
病例:39岁。因第3次妊娠已33周余,持续性全腹痛24小时,于1990年12月17日22时急诊入院。平时月经规律,本次孕早期无不适,孕4月觉胎动,孕期内未做检查。近10天有轻微下肢水肿及阵发性头痛头晕;入院前1日晚上搬重物之后突然腹痛,自右下腹开始持续性剧痛,伴恶心、呕吐,在当地医院腹腔穿刺吸出不凝血4ml,诊断先兆子痫伴胎盘早剥、子宫胎盘卒中,经输血与对症治疗数小时未显效,急转本院。查体:T 36.5,P 134,R 20,BP 33/22kPa,表情痛苦,头颈部
Case: 39 years old. Because of the third pregnancy has more than 33 weeks, sustained full abdominal pain 24 hours, at 22 o’clock on December 17, 1990 emergency admission. Normal menstrual regularity, the first trimester without discomfort, pregnant pregnancy in April fetal movement, did not check during pregnancy. Nearly 10 days have mild lower extremity edema and paroxysmal headache dizziness; hospitalized on the 1st night before moving heavy objects suddenly abdominal pain, right lower quadrant began persistent pain, with nausea and vomiting, abdominal suction in the local hospital without clotting 4ml, Diagnosis of preeclampsia with placental abruption, uterine placental stroke, transfusion and symptomatic treatment for several hours did not work, acute hospital. Physical examination: T 36.5, P 134, R 20, BP 33 / 22kPa, facial expression pain, head and neck