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本文报道1例21岁黑人妇女,第三次妊娠,孕期平顺,直到孕38周时诉有无臭阴道分泌物,阴道培养为“β-溶血性链球菌”。6天后顺产一婴,体重3kg。产后24小时内体温38℃,再次阴道培养仍为“β-溶血性链球菌”,用氨苄青霉素(500mg, 4/日)及灭滴灵(400mg,3/日)一疗程,24小时内体温恢复正常,产后4天出院,血压120/70mmHg。产后9天因腹部绞痛、血性腹泻再次入院。查体:体温38℃,脉搏112/分,血压115/90mmHg,无腹部压痛,但有大量粘液血便。血液与生化指标正
This article reports a 21-year-old black woman, the third pregnancy, pregnancy smooth, until the 38th week of pregnancy v. Odorless vaginal discharge, vaginal culture for the “beta-hemolytic streptococcus.” 6 days after birth, a baby, weight 3kg. After 24 hours of postpartum body temperature 38 ℃, vaginal culture is still “β-hemolytic streptococcus” with ampicillin (500mg, 4 / day) and metronidazole (400mg, 3 / day) a course of 24 hours Returned to normal, discharged 4 days postpartum, blood pressure 120 / 70mmHg. Postpartum 9 days due to abdominal cramps, bloody diarrhea again hospitalized. Examination: body temperature 38 ℃, pulse 112 / min, blood pressure 115 / 90mmHg, no abdominal tenderness, but a large number of mucus bloody stool. Blood and biochemical positive