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患者女,28岁,因孕9个月,头晕、不规律宫缩、阴道流水1小时收入院。既往在当地县医院体检BP:90/60mmHg(1mmHg≈0.133kPa),支原体(+)。入院查体:T36.8℃,R19次/min,P90次/min,BP150/110mmHg,浮肿Ⅲ°,宫高30cm,腹围100cm,胎重约2500g,臀位,双足先露,胎心138次/min,眼底:动脉细狭,管径迂曲,交叉症(-),网膜呈弥散状累及黄斑中心反应可见。入院诊断:①妊娠37~(2+)周,臀位。②妊高症,重度(PIH)。③胎膜早破。入院后行剖宫产术。术中以足先露牵引出一正常女婴,Apgar评分10分,体重2600g,术中出血300ml,尿色深,静脉穿刺部位皮下瘀血。血常规:RBC3.5×10~(12)/L、Hb107g/L、GCT0.331L/L、PLT18×10~9/L、MPV9.5、PCT0.017、PDW16.8、WBC9.6×10~9/L、
Female patient, 28 years old, 9 months pregnant, dizziness, irregular contractions, vaginal water 1 hour income hospital. Past medical examination in the local county hospital BP: 90 / 60mmHg (1mmHg ≈ 0.133kPa), Mycoplasma (+). Admission examination: T36.8 ℃, R19 times / min, P90 times / min, BP150 / 110mmHg, edema Ⅲ °, Palace height 30cm, abdominal circumference 100cm, fetal weight about 2500g, breech, 138 times / min, fundus: narrow stenosis, tortuous diameter, cross (-), retinal diffuse macular center reaction was seen. Admission diagnosis: ① 37 ~ (2+) weeks of pregnancy, breech. ② pregnancy-induced hypertension, severe (PIH). ③ premature rupture of membranes. Cesarean section after admission. During operation, a normal baby girl was induced by first exposing. The Apgar score was 10, the weight was 2600g, the intraoperative bleeding was 300ml. The urine was dark and the venous puncture was subcutaneous bleeding. Blood: RBC3.5 × 10-12 / L, HB107g / L, GCT0.331L / L, PLT18 × 10 ~ 9/L, MPV9.5, PCR0.017, PDW16.8, WBC9.6 × 10 ~ 9 / L,