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妊娠期自发性肝破裂由于临床少见,容易误诊,我院近10年仅发生过1例。现报道如下。1病历摘要患者32岁,以“停经9个月余,恶心1 h伴呕吐4次”为主诉,于2015-08-29急诊入院。末次月经2014-12-14。孕期基本顺利。1 h前突发恶心、呕吐4次,自诉无不洁饮食史。不发热,诉恶心、腹痛,入院后呕吐1次。查体:体温36.3℃,血压98/65 mm Hg,脉搏120次/min,神志清晰,面色苍白。
Spontaneous liver rupture during pregnancy due to clinical rare, easily misdiagnosed, nearly 10 years in our hospital had only 1 case. Report as follows now. 1 medical records Abstract 32-year-old patient, with “more than 9 months of menopause, nausea 1 h with vomiting 4 times” as the chief complaint, 2015-08-29 emergency admission. Last menstruation 2014-12-14. Pregnancy is basically smooth. Sudden nausea before 1 h, vomiting 4 times, private prosecution no unclean diet history. Not fever, vomiting vomiting 1, nausea, abdominal pain. Physical examination: body temperature 36.3 ℃, blood pressure 98/65 mm Hg, pulse 120 beats / min, clear consciousness, pale.