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患者钟某,25岁。停经37周。停经40天后有早孕反应,孕4个月后自觉有胎动感。入院前1天下午未见明显诱因出现不规则腹痛伴大量血尿,即送当地医院给予止血、输血等治疗,症状加剧而转诊。据护送医生介绍转诊时还能听到2个胎心音,120次/分,弱尚规则。既往史、个人史无特殊。查体:T36.5℃,P126次/分,R22次/分,BP11/8kPa。神清,急性失血面容,扪腹呻吟。皮肤无皮疹,巩膜无黄染,浅表淋巴结不大。双肺(一),心率126次/分。律整无杂
Zhongmou patients, 25 years old. After 37 weeks of menopause. 40 days after menopause, early pregnancy reaction, pregnant 4 months after a conscious fetal movement. One day before admission no obvious incentive to appear irregular abdominal pain with a large number of hematuria, giving local hospitals to stop bleeding, blood transfusions and other treatment, the symptoms worse and referral. According to escort doctor referral can hear 2 fetal heart sound, 120 beats / min, weak still rules. Past history, personal history no special. Physical examination: T36.5 ℃, P126 times / min, R22 times / min, BP11 / 8kPa. Clear, acute blood loss, palms groan. Skin rash, sclera no yellow dye, superficial lymph nodes is not large. Double lung (a), heart rate 126 beats / min. Law no impurity