1临床资料:患者23岁,主因孕1产0,宫内孕30周,伴皮肤黄染瘙痒2周、无胎动1天,于2010年3月28日急诊入院。患者末次月经2009年9月15日,预产期2010年6月22日,无慢性病史。孕期因条件有限未常规检查。入院当天早晨自觉头晕,并出现阵发性腹部疼痛,无胎动,故被家人送入我院。体格检查:脉搏80次,呼吸19次,血压130/80mmHg,体重66kg,意识清楚,表情自然,全身皮肤黄染无出血点。双肺呼吸清晰,未闻干湿性罗音。腹部膨隆,肝脾触诊不满意,脐周 1 clinical data: 23-year-old patient, mainly due to pregnancy 1 0, 30 intrauterine pregnancy, with yellowish itchy skin 2 weeks, no fetal movement 1 day, on March 28, 2010 emergency admission. Patients with the last menstrual September 15, 2009, the expected date of June 22, 2010, no chronic medical history. Pregnancy due to limited conditions is not routine examination. Morning dizziness, and paroxysmal abdominal pain, no fetal movement, it was admitted to our hospital. Physical examination: pulse 80 times, breathing 19 times, blood pressure 130 / 80mmHg, weight 66kg, clear consciousness, natural expression, systemic skin yellow dye without bleeding point. Breathing clear lungs, no smell of wet and dry rales. Abdominal bulging, liver and spleen palpation are not satisfied, umbilical weeks