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患者25岁,农民,住院号287330。末次月经1985年10月中旬,停经后有轻度早孕反应,于孕三个月时觉全身无力,头昏、心悸、伴恶心呕吐、剧烈头痛以致卧床不起。曾在当地医院服用大量解热镇痛药“索密痛”,土霉素等,并输血治疗,不见好转,于1986年1月28日转院治疗。入院检查:一般状况欠佳、皮肤巩膜无黄染,全身皮肤无皮疹及出血点,胸骨下端轻压痛,心肺听诊无异常,肝脾未触及。宫底耻上三指,可听到胎心音。检Hb29g/L,RBC9.7×10~(12)/L,血小板104×10~(?)/L。网织红细胞21%。骨髓穿刺显示巨幼细胞性贫血,直接coombs 试验1∶512阳性。入院后经对症治疗无明显好转于孕18周行静水囊引产,出院后身体逐渐恢复。1988年7月该患再次来诊,主诉妊娠5个月,
Patient 25 years old, farmer, hospital number 287330. The last menstrual mid-October 1985, mild post-menopausal reaction after menopause, in the first trimester of pregnancy feel weakness, dizziness, palpitations, with nausea and vomiting, severe headache so bedridden. Had taken a lot of antipyretic analgesics in the local hospital “Somnyong”, oxytetracycline, etc., and blood transfusions, did not improve, on January 28, 1986 transfer treatment. Admission examination: poor general condition, skin sclera no yellow dye, systemic skin rash and bleeding, mild tenderness in the lower part of the sternum, cardiopulmonary auscultation no abnormal liver and spleen not touched. Palace bottom shame on the three fingers, can hear fetal heart sound. Hb29g / L, RBC9.7 × 10-12 / L, platelet 104 × 10 ~ (?) / L. Reticulocyte 21%. Bone marrow biopsy showed megaloblastic anemia, direct coombs test 1: 512 positive. After admission, no significant improvement in the symptomatic treatment at 18 weeks of gestation in the water bag induced abortion, the body gradually recovered after discharge. July 1988 the patient again visit, complained of pregnancy 5 months,