患者,22岁,孕1产0。因宫内孕28周第一胎,头痛、恶心3d入院。患者既往无高血压病史,平素月经规律,停经30余天自测尿妊娠试验阳性,停经2个月出现恶心、呕吐、择食等早孕反应,早孕反应持续1个月余自行消失,孕早期无发热、病毒感染及放射线接触史。孕4个月初感胎动至今良好。未正规产检,于入院前3d前出现头痛、恶心、食欲差等症状,在当地测血压升高达140/100mm Hg,无明显视物不清等不适,未予特殊 Patient, 22 years old, pregnant 1 producing 0. Due to intrauterine pregnancy 28 weeks first child, headache, nausea, 3d hospitalization. Patients with no previous history of hypertension, usually menstrual regularity, menopause self test urine pregnancy test for more than 30 days, 2 months after menopause nausea, vomiting, choice of food and other early pregnancy reaction, early pregnancy reaction continued for more than 1 month I disappear on their own, no fever in early pregnancy , History of virus infection and radiation exposure. The first 4 months of gestation fetal movement has been good. Unconventional childbirth, headache, nausea, poor appetite and other symptoms in the pre-admission 3d, local blood pressure up to 140 / 100mmHg, no apparent ill-feeling and other discomfort, no special