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患者42岁,住院号7037,孕3产2,因孕37周,阵发性腹痛12小时,阴道流液6小时,于1989年2月1日急诊入院。该患者否认高血压及外伤史。查体:发育正常,急性痛苦病容,重度贫血貌。Bp8/6kPa,P120次/分。心肺无异常,腹部膨隆,腹壁张力大,压痛明显,双下肢水肿(++)。宫高38cm,腹围100cm,胎心胎位不清。妇科检查:宫口开大4cm,胎膜已破。先露头于棘下2cm。化验:Hb40g/L,WBC12.2×10~9/L,N0.78,L0.22。导尿并留置尿管,尿色深黄,无肉眼血尿,导出尿量
Patient 42 years old, hospital number 7037, 3 pregnant and 2 pregnant, 37 weeks pregnant, paroxysmal abdominal pain for 12 hours, vaginal fluid for 6 hours, on February 1, 1989 emergency admission. The patient denied a history of hypertension and trauma. Physical examination: normal development, acute pain, severe anemia appearance. Bp8 / 6kPa, P120 times / min. Cardiopulmonary no abnormalities, bulging abdomen, abdominal wall tension, tenderness, edema of both lower extremities (++). Palace 38cm high, abdominal circumference 100cm, fetal heart rate is unclear. Gynecological examination: Miyaguchi large 4cm, fetal membranes have been broken. Show out in the first spine 2cm. Assay: Hb40g / L, WBC12.2 × 10 ~ 9 / L, N0.78, L0.22. Catheterization and indwelling catheter, urine dark yellow, no gross hematuria, urine output