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患者王某,27岁,因孕7月余,胎动仃止4天,阴道流血32小时,于1995年5月24日上午10时入院。孕5月3日化验Hb65g/L。一月前时觉头晕。入院前32小时出现阴道流血,量时多时少,觉心慌气短,在外院输血400ml、青霉素抗感染无效。查体:T37C、P88次/分、R22次/分、BP14/8KPa,重度贫血貌,全身皮肤粘膜苍白,躯干及四肢皮下可见散在小米粒大出血点0.2～1.5cm瘀斑。产检:宫底脐上三指,胎位LOA,胎心未闻及,先露头浮。实验室检查:Hb65g/L、血小板24×10~9/L,尿蛋白++,尿潜血试验+++;血浆凝血酶元时间26.5秒(正常对照15.6
Patient Wang, 27 years old, because of pregnancy in July, fetal movement stop only 4 days, vaginal bleeding for 32 hours, on May 24, 1995 at 10 am admitted to hospital. Pregnancy May 3 assay Hb65g / L. I felt dizzy a month ago. 32 hours before admission vaginal bleeding occurs, the amount of more and less less, feel palpitation shortness of breath, blood transfusion in the hospital 400ml, penicillin anti-infective invalid. Physical examination: T37C, P88 beats / min, R22 beats / min, BP14 / 8KPa, severe anemia appearance, pale skin mucosa, torso and limbs subcutaneous visible scattered hemorrhagic millet grain 0.2 ~ 1.5cm ecchymosis. Inspection: Uterus at the end of the third finger, fetal position LOA, fetal heart not heard, the first outcrop floating. Laboratory tests: Hb65g / L, platelets 24 × 10 ~ 9 / L, urinary protein ++, urine occult blood test +++; plasma prothrombin time 26.5 seconds (normal control 15.6