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女,22岁。因畏寒、发热、咳嗽20天,痰中带血丝5天,于1990年3月21日入院。体温在38~39.5℃间。停经8~+个月,有胎动,查体:T38.8℃。P90次/分,R21次/分,血压14.32/6.43kPa.贫血貌,在下腹及下肢可见2个直径2cm的出血斑,双肺呼吸音粗,可闻及干、湿罗音;腹膨隆;肝剑下3cm,肋下1cm,质软,压痛;脾肋下3cm。子宫8~+个月妊娠大小,双下肢凹陷性浮肿。血常规:Hb 77g/L,RBC 2.5×10~(12)/L,WBC 14
Female, 22 years old. Because of chills, fever, cough for 20 days, 5 days of bloody sputum sputum, in March 21, 1990 admission. Body temperature between 38 ~ 39.5 ℃. Menstruation 8 ~ + months, a fetal movement, examination: T38.8 ℃. P90 beats / min, R21 beats / min, blood pressure 14.32 / 6.43kPa. Anemia appearance, in the lower abdomen and lower extremity visible 2 2cm in diameter bleeding spots, lung breath sounds crude, can be heard and dry, wet rales; abdominal bulging; Under the liver sword 3cm, rib 1cm, soft, tender; spleen ribs 3cm. Uterine size of 8 ~ + months of pregnancy, depression of lower extremity edema. Blood: Hb 77g / L, RBC 2.5 × 10 ~ (12) / L, WBC14