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白某,女,23岁,病历号200376病史:该患妊娠六个月,于1981年12月14日晚9时用4克雷夫诺尔溶于220ml水中,自行引产。2小时后,因口干、恶心、呕吐、吐咖啡样物而入院。体检:入院时,体温36.6℃,血压100/60mmHg,脉搏96次/分,呼吸18次/分。神清,巩膜及皮肤无黄染及出血点,心肺(一),上肤压痛(±),宫底平脐,有不规律宫缩。入院后于16日娩出一女死婴。体温38.4℃,全身皮肤黄染。出现心律紊乱,呕吐咖啡样物。尿量50～60毫升/日。虽经抗感染、抗凝、血液透析等积极治疗,但病情逐渐恶化、昏迷而死亡。化验:血色素6.5g/100ml,白细胞22.900～39.000mm~3,尿蛋白(+++)、白细胞5—9/高倍视野,红细胞30～40高倍视野,纤维蛋白元半定量100毫克,凝血酶元时间60秒。CO_2—CP 31.4cm~3％
White, female, 23 years old, medical history 200376 History: The suffering of six months of pregnancy, at 9 o’clock on the December 14, 1981 with 4 克雷夫诺尔 soluble in 220ml of water, to induce labor on their own. Two hours later, due to dry mouth, nausea, vomiting, spit coffee samples and admission. Physical examination: Admission, the body temperature 36.6 ℃, blood pressure 100 / 60mmHg, pulse 96 beats / min, breathing 18 beats / min. God clear, sclera and skin without yellow dye and bleeding point, heart and lung (a), the tenderness on the skin (±), uterine flat navel, irregular contractions. On the 16th after delivery, a female infant was delivered. Body temperature 38.4 ℃, body yellow skin dye. Appears rhythm disorders, vomit coffee samples. Urine output 50 ~ 60 ml / day. Although anti-infection, anticoagulation, hemodialysis and other aggressive treatment, but the condition deteriorated, coma and death. Laboratory: hemoglobin 6.5g / 100ml, white blood cells 22.900 ~ 39.000mm ~ 3, urinary protein (+++), white blood cells 5-9 / high power field, 30-40 high-power red blood cells, fibrin half-dose of 100 mg, 60 seconds. CO 2 -CP 31.4cm ~ 3%