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1临床资料1.1患者,女,32岁,汉族。末次月经:2010年11月9日。预产期:2011年8月16日。早孕50 d,阴道少量流血,无腹疼。门诊“保胎”治疗3 d,症状消失。孕4个月出现胎动活跃至今。孕7个月糖耐量提示:空腹血糖4.02 mmol/L,餐后2 h血糖8.18 mmol/L,孕期饮食控制,复查小轮廓血糖正常。整个孕期定期产检未发现其他异常。孕39+1周自觉无异常到门诊产检。行NST监测:NST评分5分,以“胎儿宫内窘迫”可能收住入院。入院查体:一般情况好。血压120/80 mm Hg(1 mm Hg=0.133kPa)。心肺部无异常发现。腹软,肝脾触诊不满意。产检:宫
1 clinical data 1.1 patients, female, 32 years old, Han nationality. Last menstruation: November 9, 2010. Expected date: August 16, 2011. Early pregnancy 50 d, a small amount of vaginal bleeding, no abdominal pain. Outpatient “miscarriage” treatment 3 d, the symptoms disappear. Pregnancy 4 months fetal movement has been active so far. 7 months pregnant glucose tolerance: fasting blood glucose 4.02 mmol / L, 2 h postprandial blood glucose 8.18 mmol / L, diet control during pregnancy, review the small profile of normal blood glucose. The whole pregnancy regular check-ups found no other abnormalities. Pregnancy 39 + 1 week no exception to the outpatient clinics. Line NST monitoring: NST score 5 points to “Fetal distress ” may admitted to hospital. Admission examination: the general situation is good. Blood pressure 120/80 mm Hg (1 mm Hg = 0.133 kPa). Heart and lung no abnormal findings. Abdominal soft, liver and spleen palpation not satisfied. Inspection: Palace