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患者女性,23岁,住院号623701。因妊娠38~+周伴阴道流血1天于1988年2月5日收入我院产科。患者曾于妊娠7~+月时面部出现少量红色斑疹,妊娠8~+月时双下肢出现凹陷性水肿,1周前浮肿蔓延至会阴,伴腹泻、尿少。入院后即行剖宫产术,剖腹见少量腹水。术中流血150ml。尿量20ml,术后尿量50ml。于2月11日转入内科。既往体健,无肾脏病及高血压病史。患者为同卵双生姐妹,其姐无类似病史。体检:T37.5℃,P96,R21,BP110/70;眼睑浮肿,鼻衄,口角疱疹,舌面溃疡,心肺无异常;腹膨隆,肝脾未扪及;腹水征
Female patient, 23 years old, hospital number 623701. Due to pregnancy 38 ~ + weeks with vaginal bleeding one day in February 5, 1988 revenue in our hospital obstetrics. Patients had a small amount of red rash on the face during 7 ~ + months of pregnancy. Depression edema occurred on both lower extremities during 8 ~ + months of gestation. The edema spread to the perineum one week ago with diarrhea and oliguria. Cesarean section after admission, cesarean section to see a small amount of ascites. Intraoperative bleeding 150ml. Urine volume 20ml, postoperative urine output 50ml. Transferred to Internal Medicine on February 11. Past physical health, no history of kidney disease and hypertension. Patients are identical twins sisters, their sister has no similar history. Physical examination: T37.5 ℃, P96, R21, BP110 / 70; eyelid edema, epistaxis, oral herpes, tongue ulcers, no abnormal heart and lung; abdominal bulge, liver and spleen not palpable;