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病例资料患者女,35岁,以“停经24周,发现OGTT异常1天”入院。孕24周在我院产检行OGTT检查结果为:空腹5.0mmol/L,1h 11.2mmol/L(↑),2h8.7mmol/L(↑)。患者既往体健,家中无传染病及遗传病史。患者身高1.63m,孕前体重50kg,目前体重增加约8kg。查体:宫高25cm,腹围85cm,胎心140次/分。双下肢无水肿。化验:孕期唐氏筛查低危,空腹血糖、肝肾功能及凝血四项、甲功五项均正常。超声示:宫内孕24周,单活胎,羊水适量。因1h血糖大于10.0mmol/L、2h大于8.5mmol/L,临床诊断为妊娠糖尿病。
Case data female patient, 35 years old, with “menopause 24 weeks and found abnormal OGTT 1 day ” admission. Pregnancy 24 weeks in our hospital checkup OGTT test results: fasting 5.0mmol / L, 1h 11.2mmol / L (↑), 2h8.7mmol / L (↑). Past physical health of patients, no infectious disease at home and genetic history. Patient height 1.63m, pre-pregnancy weight 50kg, the current weight gain of about 8kg. Examination: Palace 25cm high, abdominal circumference 85cm, fetal heart rate 140 beats / min. No lower extremity edema. Laboratory tests: Down’s screening low risk of pregnancy, fasting blood glucose, liver and kidney function and blood clotting four, a power of five are normal. Ultrasound showed: 24 weeks of intrauterine pregnancy, single live births, amniotic fluid amount. Because 1h blood glucose greater than 10.0mmol / L, 2h greater than 8.5mmol / L, the clinical diagnosis of gestational diabetes.