患者,唐某,26岁,第一胎妊娠7个月起头晕无力,分娩前20天,颜面四肢皮肤出现散在出血点。足月分娩一女婴,产后出血约1000ml以上,继而无尿,双下肢浮肿,转我院。T36℃,P98次/min,BP 12.0/9.3 kPa意识清楚,面色苍白,双眼脸浮肿,全身皮肤可见大片状淤斑和大小不等的出血点,心肺音无异常,肝肋缘下2.0 Cm.双侧肾区叩痛(+).双下肢浮肿。末稍血:红细胞1.7×10~(12)/L,血红蛋白55g/L。白细胞8.5×10~9/L.早幼粒细胞65％。血小板82×109/L,血尿素氮 Patient, Tangmou, 26 years old, first-born fetus 7 months from dizziness, weakness, 20 days before delivery, facial bleeding appeared scattered limbs. Full-term delivery of a baby girl, postpartum hemorrhage about 1000ml, and then no urine, lower extremity edema, transfer to our hospital. T36 ℃, P98 times / min, BP12.0 / 9.3 kPa Conscious, pale, eyelid face swollen, visible patches of large ecchymosis and the size of the bleeding spots, no abnormal heart and lung sound, Bilateral renal area percussion pain (+). Lower extremity edema. Final blood: red blood cells 1.7 × 10 ~ (12) / L, hemoglobin 55g / L. Leukocytes 8.5 × 10 ~ 9 / L. Promyelocytic cells 65%. Platelet 82 × 109 / L, blood urea nitrogen