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张鸿慧~1,骆文香~2,崔向华~2(1.云南省玉溪市中医医院,云南玉溪653100;2.中国人民解放军第四五四医院,江苏南京210002)1诊断(1)HELLP综合征(Ⅰ级)致多器官功能衰竭(MODS);(妊娠期)特发性血小板减少性紫癜?(2)G_4P_3妊娠29周难免早产两活婴;(3)产后出血。2诊断依据及分析根据此患者“双胎妊娠29周,发现血小板减少2月,上腹痛3天,下腹痛半天,阴道流血1小时”之病史,入院体格检查时见右肩部及胸部散在性瘀斑,产科检查,住院后抑制宫缩、促胎肺成熟治疗后阴道娩出两活婴,产后1小时阴道流血500 ml
ZHANG Hong-hui ~ 1, LUO Wen-xiang ~ 2, CUI Xiang-hua ~ 2 (1. Yuxi Traditional Chinese Medicine Hospital of Yunnan Province, Yuxi 653100, China; 2. Chinese People’s Liberation Army Fourth Hospital, Nanjing 210002, China) Ⅰ grade) caused by multiple organ failure (MODS); (gestational) idiopathic thrombocytopenic purpura? (2) G_4P_3 29 weeks of pregnancy is inevitable premature birth two live infants; (3) postpartum hemorrhage. 2 based on the diagnosis and analysis According to this patient “twins 29 weeks of pregnancy, found that thrombocytopenia in February, upper abdominal pain for 3 days, abdominal pain for half a day, vaginal bleeding for 1 hour ” the history of admission to the physical examination, see the right shoulder and chest Casual ecchymosis, obstetric examination, inhibition of contractions after hospitalization, promote fetal lung maturity after treatment of vaginal delivery of two live infants, 1 hour postpartum vaginal bleeding 500 ml