我院于1973年接连遇到4例妊娠中毒症并发肝功能损害患者。鉴于病情演变不同一般,特报道于下,希引起注意。病例介绍例1.陆×女 30岁住院号37163 第三胎第二产,妊娠31周余,突发胸闷、气急、头晕,于1973年1月22日来院检查。当即测血压154/96毫米汞柱,浮肿+++。尿常规:蛋白+++,透明管型0～1。诊断先兆子(?)入院。据述以往无高血压及肝、肾病史。住院后予以对症治疗。因食欲差作肝功能试验,谷丙转氦酶424单位,复查为240单位。巩膜无明显黄染,肝在剑突下2指,肋下刚及,质软,无压痛。数日后,谷丙转氨酶200～115单位,一分钟胆红素1.05～2.0毫克,总胆红质3.0～4.3毫克。巩膜黄染较前明显,且肝区有压痛,暂按“传染性肝炎”疑似病例处理而转入隔离病区观察。隔离期间,妊毒情况依旧,浮肿加重伴酸中毒。2月7日 Our hospital in succession in 1973 encountered 4 cases of gestosis poisoning patients with liver damage. In view of the evolution of the disease in different general, especially reported in the next, hope to attract attention. Case introduction Example 1. Lu × female 30-year-old hospitalization No. 37163 The third birth of the second child, more than 31 weeks of gestation, sudden chest tightness, shortness of breath, dizziness, in January 22, 1973 to hospital inspection. Immediate measurement of blood pressure 154/96 mm Hg, edema +++. Urine: protein +++, transparent tube 0 ~ 1. Diagnosis of pre-eclampsia (?) Admission. According to the past without hypertension and history of liver and kidney disease. After symptomatic treatment of hospitalization. Due to poor appetite for liver function tests, alanine helium enzyme 424 units, review of 240 units. Sclera no obvious yellow dye, liver in the xiphoid 2 refers to the ribs just, and soft, no tenderness. A few days later, alanine aminotransferase 200 to 115 units, one minute bilirubin 1.05 ~ 2.0 mg, total bilirubin 3.0 ~ 4.3 mg. Scleral yellow stained obvious than before, and liver tenderness, temporarily by “infectious hepatitis” suspected cases of treatment and transferred to isolation ward observation. During the isolation, pregnancy-induced persistence still edema aggravating acidosis. February 7th