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患者,25岁,G_1Po。因停经32周,头痛、头昏、上腹痛、水肿7天,胎动停止1天,疑Hellp综合征、DIC、死胎入院。5岁时患急性肾炎治愈,以后多次复查正常。停经后除有早孕反应外,无其他不适,妊娠28周内,血压14.6/9.4kPa,血尿常规均正常,至妊娠31周,外院测血压为17.3/12kPa,3天后因头痛、头昏、上腹痛、水肿1天来本院检查,血压17.3/12.8kPa,左肘部有一较大淤斑,心肺一,腹隆起,剑突下有压痛,无反跳痛,宫高25cm,腹围80cm,胎位胎心正常,下肢水肿+,血小板11×10~9/L,尿蛋白++++,颗粒管型2～4/HP,透明管型1～2/HP,疑妊娠高血压综合征、特发性血小板减少、肾炎,内科留观6天,血压17.3～22.6/12.8～16kPa,血红蛋白进行性下降
Patient, 25 years old, G_1Po. Due to menopause 32 weeks, headache, dizziness, upper abdominal pain, edema for 7 days, fetal movement stopped 1 day, suspected Hellp syndrome, DIC, stillbirth admitted. 5 years old suffering from acute nephritis cure, after repeated review of normal. In addition to early pregnancy reaction after menopause, no other discomfort, 28 weeks of pregnancy, blood pressure 14.6 / 9.4kPa, hematuria routine were normal to 31 weeks of gestation, outside the hospital measured blood pressure was 17.3 / 12kPa, 3 days after a headache, dizziness, on Abdominal pain, edema 1 day to hospital for examination, blood pressure 17.3 / 12.8kPa, left elbow has a larger ecchymosis, cardiopulmonary a, abdominal bulge, under the xiphoid tenderness, no rebound pain, palace height 25cm, abdominal circumference 80cm, Fetus fetal heart rate normal, lower extremity edema, platelet 11 × 10 ~ 9 / L, urinary protein ++++, particle tube 2 ~ 4 / HP, transparent tube 1 ~ 2 / HP, suspected pregnancy-induced hypertension syndrome, Idiopathic thrombocytopenia, nephritis, medical observation for 6 days, blood pressure 17.3 ~ 22.6 / 12.8 ~ 16kPa, hemoglobin decreased