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患者张某,女性,37岁。1979年11月6日入院。患者妊娠后期因不规则腹泻两月,并合并妊娠中毒症,提前21天于11月2日在我院产一正常男婴,当时出血不多,但以后常有少量出血,约持续一月。患者于产前半月发现眼睛发黄,小便呈浓茶水色,临产当天查肝功:麝浊2°,锌浊5°,GPT221°,黄疸指数9°,胆红质0.8mg％,凡登白呈双相反应,尿胆元、尿胆素强阳性。产后第4天感身热、头晕、心慌、手指口唇发凉、发麻、不疼痛,并发生短暂昏厥,而急诊入内科。查体:呈急性重病容,低热,明显贫血貌,皮肤巩膜轻度黄染,未见出血点及紫瘢,肝脾肋下未扪及。Hb3.0
Patient Zhang, female, 37 years old. November 6, 1979 admission. Due to irregular diarrhea in the second trimester of pregnancy and pregnant women with gestosis, 21 days in advance on November 2 in our hospital to produce a normal baby boy, bleeding was small, but often after a small amount of bleeding, about last month. Patients in the first half of the month found that the eyes were yellow, urine was thick tea color, check the day of labor on the day of labor: musk turbidity 2 °, zinc 5 °, GPT221 °, jaundice index 9 °, 0.8mg of bilirubin, In contrast, urinary gall bladder, urobilinoid strong positive. 4 days postpartum sensory heat, dizziness, palpitation, finger lips cold, tingling, pain, and a brief syncope, and emergency medical staff. Physical examination: acute serious illness, fever, obvious anemia, mild scleral skin yellow, no bleeding and purple scar, liver and spleen ribs palpable. Hb3.0