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患者女,33岁,住院号65548。末次月经85年9月下旬,停经4个月余,曾有恶心,厌食等早孕反应。近20天下肢水肿、尿少、下腹胀痛。10天前开始头晕、头痛、阴道少量流血为暗红色。因腹痛加剧,阴道大流血于86年2月2日入院。既往健康,月经正常。23岁初婚,孕产2次。33岁再婚未孕。查体:T38℃,P124次/分,R36次/分,BP190/110mmHg,双肺呼吸音粗糙,间有干呜。腹壁水肿,肝脾未及,肠音正常,无移动浊音,两下肢明显水肿。宫底脐下3指,无压痛,未扪及胎块,胎心音(一)。阴道内有
Female patient, 33 years old, hospital number 65548. The last menstrual 85 years in late September, menopause more than 4 months, had nausea, anorexia and other early pregnancy reaction. Nearly 20 days lower extremity edema, oliguria, abdominal pain. 10 days ago dizziness, headache, vaginal bleeding for the dark red. Due to aggravating abdominal pain, vaginal bleeding was admitted on February 2, Past health, normal menstruation. 23-year-old first marriage, pregnancy 2 times. 33-year-old remarried and not pregnant. Physical examination: T38 ℃, P124 times / min, R36 beats / min, BP190 / 110mmHg, lungs rough breathing sounds, between the dry woo. Abdominal wall edema, liver and spleen not yet, normal bowel sounds, no moving dullness, two obvious edema. Under the palace bottom umbilicus 3 fingers, no tenderness, no palpable block, fetal heart sound (a). There are vagina