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22岁,孕Ⅰ产0,停经33周,因全身水肿4月,血压高、心悸、气促2月,咳嗽、痰中带血3天入院。孕早期无何不适,孕3个月出现面部水肿,逐渐下行,晨起加重,血压14.7/10.7kPa。孕5个月时血压增高21.3/14.7kPa,全身水肿加重、感心悸、气促、夜间不能平卧,近3天头昏、咳嗽、痰中带血丝、小便7～8次/日,量少。既往体健,无肾炎病史,从小声音较粗,月经16岁初潮,经期6～7天/30天,21岁结婚。体查:体温36.5℃,脉搏110次,呼吸28次,血压24.0/10.7kPa。全身皮肤高度水肿,满月脸,角膜水肿,有胡须,水牛背,向心性肥胖,乳房,腹壁及双下肢皮肤可见粗宽紫纹,皮下透明可见液体,以腹壁明显,随体位而改变。心
22 years old, pregnancy Ⅰ 0, menopause 33 weeks, due to systemic edema in April, high blood pressure, heart palpitations, shortness of breath in February, cough, sputum bloody 3 days admission. No discomfort in early pregnancy, pregnancy 3 months facial edema, gradually down, increased early morning, blood pressure 14.7 / 10.7kPa. Pregnancy 5 months when the blood pressure increased 21.3 / 14.7kPa, systemic edema, palpitation, shortness of breath, not supine at night, nearly 3 days dizziness, cough, sputum with bloodshot eyes, urine 7 ~ 8 times / day, less . Past physical health, no history of nephritis, childhood sound coarse, menarche 16-year-old menarche, menstrual 6 to 7 days / 30 days, 21-year-old married. Physical examination: body temperature 36.5 ℃, pulse 110 times, breathing 28 times, blood pressure 24.0 / 10.7kPa. Full-height skin edema, full moon face, corneal edema, beard, buffalo back, concentric obesity, breast, abdomen and lower extremity skin visible thick wide purple pattern, subcutaneous transparent liquid can be visible to the abdominal wall, with the position changes. heart