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一、病例摘要孕妇32岁,主因“停经37+5周,不规律腹痛半天”于2013年2月27日15:00入北京五洲妇儿医院。孕妇末次月经2012年6月7日,6月20日外院行胚胎移植,预产期为2013年3月14日。停经12周定期产检,肝功能及血小板均正常。入院前8周常规化验:ALT 82U/L,AST 81U/L,TBA 9.28μmol/L,无皮肤瘙痒、黄疸及消化道症状,予口服保肝药对症治疗。入院前1周产检血常规显示PLT波动
First, the case summary of pregnant women 32 years old, mainly due to “menopause 37 +5 weeks, irregular abdominal pain for a long time” at 15:00 on February 27, 2013 into Beijing Wuzhou Women and Children Hospital. The last menstrual period of pregnant women June 6, 2012, June 20 outside the hospital line embryo transfer, the expected date of March 14, 2013. Menopause regular 12-week maternity test, liver function and platelets were normal. 8 weeks before admission, routine tests: ALT 82U / L, AST 81U / L, TBA 9.28μmol / L, no skin itching, jaundice and gastrointestinal symptoms, to oral symptomatic treatment of hepatoprotective drugs. One week before admission, routine blood tests showed PLT fluctuations