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1 病例摘要患者36岁,住院号351157.高年初产孕40周,囡先兆子病于1992年1月12日急诊入院.来院前一个月,因头痛、头晕,视物不清,下肢水肿加重在当地住院治疗10天无效(用药不详),遂来我院.查体:Bp 23/16kPα,P 80次/分,下肢水肿+++,尿蛋白+++,红细胞压积0.38,Hb 114g/L,RBC3.4×10~(12)/L,WBC 11.7×10~(?)/L,PC 150×10~(?)/L.宫高32cm,腹围100cm,胎儿中等大小,胎头半固定.入院后经解痉、降压、镇静扩容治疗,静滴硫酸镁15g,于当夜自然临产,次日低位产钳助娩一女活婴重2400g,总产程9小时52分,产时出血200ml,产后血压在14～18/8～12kPα之间,无不适感.产后2小时
A case summary of 36-year-old patient, hospital number 351157. 40 years of early pregnancy in early pregnancy, early warning signs of child disease in January 12, 1992 emergency admission to hospital one month before due to headache, dizziness, blurred vision, lower extremity edema In the local hospital treatment for 10 days is invalid (medication unknown), then to our hospital. Physical examination: Bp 23 / 16kPα, P 80 beats / min, lower extremity edema +++, urinary protein +++, hematocrit 0.38, Hb 114g /L,RBC3.4 × 10 ~ (12) / L, WBC 11.7 × 10 ~ (?) / L, PC 150 × 10 ~ (?) / L. Palace height 32cm, abdominal circumference 100cm, fetal size, Head and a half fixed.After admission by antispasmodic, antihypertensive, sedation dilatation treatment, intravenous infusion of magnesium sulfate 15g, the night of natural childbirth, the next day low forceps to give birth to a female live baby weight 2400g, 9 hours 52 hours of total labor, delivery time Bleeding 200ml, postpartum blood pressure between 14 ~ 18/8 ~ 12kPα, no discomfort. 2 hours after delivery