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暴发性1型糖尿病合并死胎一例

发布时间:2018-08-15 18:00
【摘要】:正一、病例摘要患者29岁,因"孕34+周,恶心呕吐2d,胎动减少1d"于2013年6月23日入武汉市第三医院。患者整个孕期一直有恶心呕吐症状,每日进食少,未治疗。孕期体重增加5.6kg。2d前进食冷饮后恶心呕吐明显加重,无法进食,无明显口干、多饮、多尿等症状,于入院前一夜在急诊科就诊,行补液止吐处理。入院当天上午在产科门诊就诊,胎心音消失,行超声检查提示晚孕,单死胎。患者孕期行正规产检,孕26周行OGTT结果显示空腹血糖4.9mmol/L、
[Abstract]:The patient, 29 years old, was admitted to Wuhan third Hospital on June 23, 2013 because of "34 weeks of pregnancy, 2 days of nausea and vomiting, 1 d of fetal motility reduction". The patient throughout pregnancy has been nausea and vomiting symptoms, eat less daily, untreated. The nausea and vomiting after eating cold drink before weight gain during pregnancy was aggravation, unable to eat, and no obvious symptoms such as dry mouth, polyhydration, polyuria, etc., which were treated in the emergency department one night before admission to hospital and treated with fluid resuscitation to stop vomiting. On the morning of admission, the fetal heart sound disappeared. Ultrasound examination showed late pregnancy and single stillbirth. During pregnancy, the patient underwent a regular birth test, and at 26 weeks of gestation, the results of OGTT showed that fasting blood glucose was 4.9 mmol / L,
【作者单位】: 武汉市第三医院;
【分类号】:R714.256

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