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患者27岁,因妊娠40周+3天(第一胎),上腹痛二周,水肿、黄疸加重一周,于1982年7月15日入院。妊娠38周时,上腹持续性隐痛,并日渐加重,食量减少,偶有恶心、呕吐。第39周起两下肢肿胀,尿量减少,并感倦怠,皮肤巩膜黄染,2～3天之内急剧加深。黄疸指数50u,凡登白立即反应阳性,胆红素7.0mg/dl,SGPT78u。胆固醇、甘油三酯正常。尿胆红素阳性,尿胆原1:10阳性。既往无肝炎史,HBsAg阴性(ELISA),妊娠初期反应轻,血压平
Patient 27 years old, 40 weeks of pregnancy + 3 days (first birth), upper abdominal pain two weeks, edema, jaundice increased one week, on July 15, 1982 admission. 38 weeks of pregnancy, persistent upper abdominal pain, and increasing, reduced appetite, occasional nausea, vomiting. From the 39th week, both lower extremities swollen, urine output decreased, and feeling tired, skin scleral yellow dye, sharply deepened within 2 to 3 days. Jaundice index 50u, Vandenberg immediate reaction positive, bilirubin 7.0mg / dl, SGPT78u. Cholesterol, triglyceride normal. Urinary bilirubin-positive, urinary gallstone 1:10 positive. Past history without hepatitis, HBsAg negative (ELISA), early pregnancy reaction light, blood pressure level