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患者女性,42岁,住院号74314,3产2胎。妊娠28周。末次月经1986年8月16日,妊娠前半期无合并症。孕7月时出现多饮,多食,多尿。每天进食1.5斤,饮水两暖瓶,伴有多汗,头晕,心慌,气短外阴搔痒。化验检查:血糖200mg%,尿糖((?)),酮体阳性。二氧化碳结合力8.4容积%,尿素氮18mg%。诊断妊娠合并糖尿病酸中毒住我院。给予对症治疗。查体:妊娠足月腹型,有不规律子宫收缩,胎头高浮,胎心148次/分。阴道检查宫口未开,胎头(-2),胎膜未破。化验检查,血糖115mg%,尿糖((?)),尿素氮15mg%。白细胞8600,血红蛋白12.5%。经对症治疗尿糖在正常范围内。于6月9日临产,行剖腹产术,娩出1男婴,重3.7kg。
Female patient, 42 years old, hospital number 74314, 3-births and 2-births. 28 weeks of pregnancy. The last menstrual August 16, 1986, the first half of pregnancy without complications. Pregnancy in July when there is more drink, eat more, more urine. Eat 1.5 pounds a day, drinking two warm bottles, accompanied by sweating, dizziness, palpitation, shortness of breath genital itching. Laboratory tests: blood sugar 200mg%, urine sugar ((?)), Ketone-positive. Carbon dioxide binding capacity of 8.4% by volume, urea nitrogen 18mg%. Diagnosis of pregnancy complicated with diabetes acidosis live in our hospital. Give symptomatic treatment. Examination: abdominal full-term pregnancy, irregular uterine contractions, fetal head floating, fetal heart rate 148 times / min. Vaginal examination cervix is not open, fetal head (-2), fetal membranes are not broken. Laboratory tests, blood sugar 115mg%, urine sugar ((?)), Urea nitrogen 15mg%. White blood cells 8600, hemoglobin 12.5%. After symptomatic treatment of urine sugar in the normal range. Labor on June 9, cesarean section, delivered a baby boy, weight 3.7kg.