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1 病例 27岁,因孕35周、1/0、外伤后引起腹痛伴阴道出血3 d,于 1989年 11月 22日入院。未次月经1989年3月 22日,早中孕期无异常,1月前BP 20.0/10.7 kPa,感头痛眼花。11月19日晚走路跌倒,次日开始阵发性腹痛并阴道持续流血,21日晚感头痛、心慌、恶心,当地医院查BP 28.0/18.7 kPa,经降压处理于22日中午急诊转入我院。平素体健,月经史13(4/25),结婚1年,G_1Po.检查:T37℃,BP 16.5/13.9kPa,重度贫血貌,心肺(-),肝脾未及,下肢水肿(+)。宫高 36 cm,腹围 98 cm,子宫硬如板状,宫
A case of 27 years old, 35 weeks pregnant, 1/0, abdominal pain caused by trauma with vaginal bleeding 3 d, on November 22, 1989 admission. Uncurrent menstruation March 22, 1989, no abnormalities in early pregnancy and pregnancy, BP 20.0 / 10.7 kPa before January, headache. On the night of November 19, he walked and fell down. The next day he started to have paroxysmal abdominal pain and the vagina continued to bleed. On the evening of the 21st, he felt headache, palpitation and nausea. The local hospital examined BP 28.0 / 18.7 kPa and was pressured to emergency treatment at noon on the 22nd Our hospital. General physical health, history of menstruation 13 (4/25), 1 year of marriage, G_1Po. Check: T37 ℃, BP 16.5 / 13.9kPa, severe anemia appearance, cardiopulmonary (-), hepatosplenomegaly, lower extremity edema (+). Palace height 36 cm, abdominal circumference 98 cm, uterine hard as plate, Palace