病历摘要孙××,女,29岁,已婚。1976年9月24日入院。诉闭经40多天开始有早孕反应,持续约半月。5个多月开始感胎动,两下肢出现浮肿。近一个多月来血压高,两下肢浮肿渐加重,无其他自觉症状。此次妊娠为第一胎。既往史和家族史:无特殊记载。查体:体温37.3℃,脉搏72次/分,呼吸18次/分,血压160/110毫米汞柱。神清合作,全身皮肤无黄染及出血点,浅表淋巴结未触及。头颈、心、肺(-),腹部隆起,会阴肛门检查无特殊发现,两下肢浮肿(+++)。产科情况:宫底平剑突下4指,胎位因腹壁张力大、水肿摸不清,胎心136次/分。骨盆测量在正 Medical record Sun × ×, female, 29 years old, married. September 24, 1976 admission. Amenorrhea more than 40 days began to have early pregnancy reaction, lasted about half a month. More than five months began to feel the fetal movement, two lower extremities edema. Nearly a month to high blood pressure, lower extremity edema gradually increased, no other symptoms. The pregnancy is the first child. Past and Family History: No special records. Examination: body temperature 37.3 ℃, pulse 72 beats / min, breathing 18 beats / min, blood pressure 160/110 mm Hg. Clear cooperation, body skin yellow dye and bleeding, superficial lymph nodes not touched. Head and neck, heart, lungs (-), abdominal bulge, perineal anus examination No special findings, both lower limb edema (+++). Obstetric situation: 4 at the end of Pingdingshen Gong refers to the fetal position due to abdominal wall tension, edema puzzled, fetal heart rate 136 times / min. The pelvis is measuring positive