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患者40岁,住院号282548。因妊娠37~(+5)周合并阿狄森氏病于1987年7月6日入院待产。患者平素月经规律,孕4产1,人流2次。1984年因全身皮色发黑并乏力1年,诊断为阿狄森氏病。持续用肾上腺皮质激素补充治疗,每日口服强的松7.5mg。末次月经1986年10月15日,自停经诊断妊娠后未服用激素。查体:全身皮肤呈棕褐色,以乳晕、乳头、腋窝处明显,口腔粘膜斑状暗褐色,阴毛、腋毛稀疏。下肢水肿(+)。宫高36cm,腹围92cm,左枕前位,胎头浮动,胎心140次/分。化验检查:17—OH1.2mg/24hrs 尿(正常值
Patient 40 years old, hospitalization 282548. Due to 37 ~ (+5) weeks of pregnancy combined Addison’s disease on July 6, 1987 admitted to hospital. Patients usually menstrual regularity, pregnancy 4 1, abortion 2 times. 1984 due to body color black and fatigue for 1 year, diagnosed as Addison’s disease. Continuous treatment with adrenal cortex hormones, daily oral prednisone 7.5mg. The last menstrual October 15, 1986, self-stop diagnosis of pregnancy after taking no hormones. Physical examination: body skin was tan, to the areola, nipple, axillary Department obvious, oral mucosa dark brown, pubic hair, armpit sparse. Lower extremity edema (+). Palace height 36cm, abdominal circumference 92cm, left anterior occipital, fetal head floating, fetal heart rate 140 beats / min. Laboratory tests: 17-OH1.2mg / 24hrs urine (normal