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金某,女,28岁。婚后第一胎,妊娠38周。因头晕、全身浮肿一月余,于1979年11月20日收入院。早期有轻度妊娠反应,孕期血压波动于150/100~180/130mmHg。妊娠4个多月时感胎动,5个月就诊于我院内科,劝其终止妊娠,未予接受。孕8个月开始双下肢逐渐浮肿,且常感心悸,气短等。但尚能胜任日常工作。其本人为8个月的早产儿。出生体重1800g,从无紫绀。5岁开始发现血压140/100mmHg。尿蛋白±~+。曾按“先天性心脏病、急性肾炎”治疗。13岁时诊为“先天性主动脉狭窄病”。 体检:血压170/110mmHg。神志清楚,检查合
Kim, female, 28 years old. Marital first child, 38 weeks of pregnancy. Due to dizziness, edema more than a month, on November 20, 1979 income hospital. Early mild reaction to pregnancy, blood pressure fluctuations during pregnancy in the 150/100 ~ 180 / 130mmHg. Pregnancy more than 4 months when the sense of fetal movement, 5 months treatment in our hospital internal medicine, to persuade them to terminate the pregnancy, not accepted. 8 months pregnant double leg gradually edema, and often feel palpitations, shortness of breath and so on. But still capable of daily work. I am 8 months premature. Birth weight 1800g, from no cyanosis. 5-year-old began to find blood pressure 140 / 100mmHg. Urinary protein ± ~ +. According to “congenital heart disease, acute nephritis” treatment. 13-year-old diagnosed as “congenital aortic stenosis.” Physical examination: blood pressure 170 / 110mmHg. Consciousness, check together