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患者女性,26岁,农民,已孕6个月。主因呕吐、纳差2个月,不能进食伴全身浮肿20天就诊。查体:心尖部可闻及Ⅱ级收缩期杂音,肺动脉瓣有Ⅲ级收缩期杂音,律整,心界向两侧扩大。呼吸急促,腹部膨隆,子宫脐上二横指。急查血常规,血红蛋白1.5g/dl,红细胞67万,白细胞7500,中性88%。初拟诊断:①妊娠中毒症;②营养不良性贫血;③血液病待除外。采取就地抢救,急输血900ml,给予补血药物,维生素,抗生素等药。治则:气血
Female patient, 26 years old, farmer, pregnant 6 months. The main vomiting, anorexia 2 months, can not eat with body edema 20 days treatment. Physical examination: the apex can be heard and Ⅱ systolic murmur, pulmonary valve Ⅲ systolic murmur, law, the heart to both sides of the expansion. Shortness of breath, bulging abdomen, uterine two cross refers to the umbilical cord. Urgent blood routine examination, hemoglobin 1.5g / dl, 670,000 red blood cells, white blood cells 7500, 88% of neutral. Preliminary diagnosis: ① pregnancy poisoning; ② malnutrition anemia; ③ blood disease to be excluded. Take local rescue, emergency blood transfusion 900ml, given blood drugs, vitamins, antibiotics and other drugs. Governance is: blood