妊娠合并黄疸、脊髓出血,临床极为罕见,后者尚未见于文献,现将遇见的1例报告如下: 陈××,女,24岁,农民,首胎停经9~+月,两眼发黄3个月,胸背剧痛伴右下肢不能活动2天而于1985年2月27日入院。平素月经正常,末次月经1984年5月20日,预产期1985年2月27日,无早孕反应。停经6月全身瘙痒,约半月后皮肤、两眼发黄,尿色如浓茶,无恶心呕吐,无腹痛,饮食正常。1月前双下肢及面部浮肿,服利尿药浮肿消退。入院前1周下肢、面部再度浮肿伴头晕、头痛、心跳、尿少,测血压180/120～100mmHg。2月25日夜侧身性交后,突然胸背剧烈疼痛,继即颈、枕部、腰部疼痛,右肩、右侧肢体发麻,右手发软,右下肢无力,清晨呕吐胃内容3次,血压200～170/140～90mmHg,右下肢不能动弹,并觉右眼睁不开,视物模糊,尿潴留,便秘,2月27日宫缩开始,历17小时经人工破膜、胎头吸引助产,产出胎儿轻度窒息,自娩胎盘完整。分娩前后出血总量约250ml。产前血压190～130mmHg,产时和产后一般情况尚可。巩膜均匀黄染,右眼裂变小,双球结膜水肿,无面舌瘫,右瞳孔较左侧略小。眼底双侧视乳头边缘模糊,静脉充盈怒张,无出血、渗出灶。右上肢、左下肢肌力稍弱,右下肢肌力0—1级。双上肢肌张力正常,双下肢减低。痛温觉左脐平线以下减退,左腹股沟以下消失,右侧存在。双侧深感觉正 Pregnancy with jaundice, spinal cord bleeding, the clinical is extremely rare, the latter has not yet been found in the literature, the case will now meet a report as follows: Chen × ×, female, 24 years old, farmer, the first child menopause 9 ~ + month, yellow eyes 3 Months, chest and back pain with right leg can not move for 2 days and in February 27, 1985 admission. Normal menstruation normal, the last menstrual May 20, 1984, the expected date of February 27, 1985, no early pregnancy response. Menopause in June whole body itching, about half a month after the skin yellow eyes, urine, such as strong tea, no nausea and vomiting, no abdominal pain, normal diet. A month ago, both lower extremities and facial edema, diuretic edema subsided. One week before admission, the lower extremities, facial re-edema with dizziness, headache, heartbeat, oliguria, blood pressure 180/120 ~ 100mmHg. February 25 night sideways after sexual intercourse, suddenly chest and back severe pain, then neck, occipital, waist pain, right shoulder, right limb numbness, right hand weakness, right lower limb weakness, morning vomiting stomach content 3 times, blood pressure 200 ~ 170/140 ~ 90mmHg, the right lower limb can not move, and feel the right eye can not open, blurred vision, urinary retention, constipation, contractions began February 27, calendar 17 hours by artificial rupture of membranes, fetal head to attract midwifery , The output of fetal mild suffocation, since the delivery of the placenta complete. The total amount of bleeding before and after childbirth is about 250ml. Prenatal blood pressure 190 ~ 130mmHg, during labor and postpartum general acceptable. Sclera even yellow dye, right eye fissile, double conjunctival edema, faceless tongue paralysis, right pupil slightly smaller than the left. Fundus bilateral bilateral visual blur the edges of the nipple, filling the inflamed veins, no bleeding, oozing stove. Right upper limb, left lower limb muscle weakness, right lower extremity muscle 0-1 level. Double upper limb muscle tone normal, lower extremity lower. Pain following left umbilical flattening pain decreased below the left groin disappeared, the right there. Bilateral deep feeling positive