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患者25岁。因停经8月,恶心、心悸4天,胎动消失伴发热2天,于1988年2月2日入院。4天前无明显诱因出现头痛、咽痛、恶心、呕吐、心慌、气短,自服“感冒清”无效。近2天发热,胎动消失,咳嗽,牙龈出血。查体:T38℃,P120次/分,R40次/分,BP88/60mmHg。神志清楚,急性病容,呼吸困难,口唇紫绀。皮肤无出血点及黄染,无三红征。巩膜轻度黄染。牙龈渗血。咽充血。两肺呼吸音粗糙。心界向左扩大,心律齐,心尖部收缩期Ⅲ级杂音、腹膨隆,肝脾未触及,宫底脐上3指,子宫区压痛明显,胎心消失。下肢无水肿。实验室检查:WBC 43.0×
The patient is 25 years old. Due to menopause in August, nausea, palpitations 4 days, fetal movement disappeared with fever 2 days, in February 2, 1988 admission. 4 days ago no obvious incentive to headache, sore throat, nausea, vomiting, palpitation, shortness of breath, self-serving “cold clear” invalid. Nearly 2 days fever, fetal movement disappeared, cough, bleeding gums. Physical examination: T38 ℃, P120 beats / min, R40 beats / min, BP88 / 60mmHg. Conscious, acute, sick, with cyanotic lips. No bleeding spots and yellow skin, no three red sign. Scleral mild yellow dye. Gum oozing. Pharyngeal congestion. Breathe sound rough between the two lungs. Heart to the left to expand, heart Qi Qi, atrial systolic grade Ⅲ murmur, abdominal bulging, liver and spleen not touched, uterus 3 fingers on the uterus, uterine area tenderness, fetal heart disappear. Lower extremity without edema. Laboratory examination: WBC 43.0 ×