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病历摘要章××,住院号22884,女,22岁,农民。因停经8个月,昏迷一天余伴抽搐20余次于1979年1月20日中午入院.末次月经不详,据其夫诉停经后患者食欲减退,乏力,经常卧床不起,但无明显发热、咳嗽,曾多次在当地就诊疑为肺结核或肝炎.此次怀孕以来未参加劳动。孕7个月时曾在当地产前检查一次,血压正常与否不详,近半月来常诉头痛,未予特殊处理.昨晨一时许突然抽搐,口吐泡沫,紫绀,继而昏迷.即去公社医院诊治,经补液等处理仍未好转,再转县人民医院,给予高渗葡萄糖、硫酸镁、洛贝林等仍未好转,持续昏迷,前后抽搐20余次后转来我院急诊室.当时血压160/110毫米汞柱,初步检查胎位、胎心无异常,见两上肢仍有抽动.拟诊第二胎,孕8个月,产前子痫,即注射安定10毫克、海特琴0.3毫克、利血平1毫克收入病房.患者以往体健,无慢性病史,也无结核接触史。
Medical records Chapter XX, hospital number 22884, female, 22 years old, farmer. Due to menopause 8 months, coma one day with more than 20 convulsions in January 20, 1979 admission at noon the last menstrual unknown, according to their husband after menopause patients with loss of appetite, fatigue, often bedridden, but no significant fever, Cough, has repeatedly been suspected of tuberculosis or hepatitis in the local treatment since the pregnancy has not been involved in labor. 7 months pregnant at a local prenatal examination, normal blood pressure or unknown, almost half a month often complained of headache, no special treatment .1 o’clock suddenly convulsions yesterday morning, vomiting bubble, cyanosis, and then coma. Hospital treatment, rehydration and other treatment has not improved, and then transferred to the county People’s Hospital, given hypertonic glucose, magnesium sulfate, Lobeline, etc. have not improved, continued to coma, convulsions before and after more than 20 times transferred to our emergency room. Blood pressure 160/110 mm Hg, the initial examination of the fetal position, no abnormal fetal heart rate, see both upper extremities still twitch .To diagnose the second child, 8 months pregnant, prenatal eclampsia, injection stability 10 mg, Hite 0.3 Mg, reserpine 1 mg income ward patients with previous health, no chronic medical history, no contact history of tuberculosis.