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患者27岁,孕3产0,36孕周.因上腹部疼痛伴恶心,呕吐一周,左上腹痛加剧8小时于1988年2月4日入院.检查:T36.4℃,P 128次/分,R 26次/分,Bp16.0/9.3kPa(120/70mmHg).心肺正常,腹软,肝脾未触及,剑突下有压痛,无反跳痛,无肌紧张。子宫底耻上29cm,先露头,固定,胎心140次/分,可触及不规律宫缩,宫口未开.化验:Hb140g/L,WBC 10.4×10~9/L,S 0.84,L 0.16,PC 15.7×10~9/L,尿常规正常.入院诊断:孕3产0,36孕周,LOA 先兆早产,妊娠合并肝炎?住院后给予高危妊,
The patient was 27 years old and was pregnant with 3 weeks and 36 weeks of gestation.The upper left abdominal pain was accompanied by nausea and vomiting for 8 weeks and was admitted on February 4, 1988. Examination: T36.4 ℃, P128 / R26 beats / min, Bp16.0 / 9.3kPa (120 / 70mmHg) .Cardiac normal lung, abdominal soft, liver and spleen not touched, under the xiphoid tenderness, no rebound pain, no muscle tension. Uterine shame on the 29cm, first outcrop, fixed, fetal heart rate 140 beats / min, can reach irregular contractions, cervix not open.Experiment: Hb140g / L, WBC 10.4 × 10 ~ 9 / L, S 0.84, L 0.16 , PC 15.7 × 10 ~ 9 / L, normal urine.Admission diagnosis: pregnancy 3 births 0, 36 gestational weeks, LOA threatened premature delivery, hepatitis with pregnancy? After hospitalized with high-risk pregnancy,