31卷11期疑难病案
发布时间：2018-11-23 16:42
【摘要】：正患者,34岁,因孕31+6周,下腹胀痛伴呼吸困难13+小时于2015年6月13日19时急诊入院。患者平素月经规律,末次月经:2014年11月2日。孕期未定期产前检查。无头痛、心悸、气促、皮肤瘙痒及双下肢水肿等症状。自诉平素喜食肥肉,长期进食油腻食物,4天前受凉后有上呼吸道感染症状,表现为流涕、咽痛,无畏寒、发热、咳嗽等,自行口服药物(具体不详)治疗后症状缓解。1天前出现尿频、尿急、尿痛、尿不尽感,当地医院予盐酸利托君静脉泵入抑制宫缩,地塞米松6 mg肌内注射1次促胎肺成熟治疗,并留置尿管。13+小时前无明显诱因出现下腹部规律性胀痛伴呼吸困难、端坐呼吸,无法平卧,
[Abstract]:A 34-year-old patient was admitted to the hospital at 19:00 on June 13, 2015, for 31 6 weeks of gestation, 13 hours of lower abdominal distension and dyspnea. Patient plain menstruation, the last menstruation: November 2, 2014. There is no regular antenatal examination during pregnancy. No headache, palpitations, shortness of breath, itchy skin and edema of both legs. Privately charged plain vegetable likes to eat fat meat, eat greasy food for a long time, have symptoms of upper respiratory tract infection after 4 days of cold, manifested as runny, sore throat, no chills, fever, cough, etc. The symptoms were relieved after the treatment of oral medicine (specific details unknown). One day ago, the symptoms of frequent urination, urinal urgency, urinal pain, and not feeling the urine. The local hospital was given Litojun hydrochloride intravenous pump to suppress uterine contractions. Dexamethasone was injected intramuscularly for 6 mg to promote fetal lung maturation and indwelling urethral catheter. There was no obvious inducement to develop regular distending pain in lower abdomen with dyspnea 13 hours ago.
【作者单位】： 第三军医大学大坪医院野战外科研究所;
【分类号】：R714.2
[Abstract]:A 34-year-old patient was admitted to the hospital at 19:00 on June 13, 2015, for 31 6 weeks of gestation, 13 hours of lower abdominal distension and dyspnea. Patient plain menstruation, the last menstruation: November 2, 2014. There is no regular antenatal examination during pregnancy. No headache, palpitations, shortness of breath, itchy skin and edema of both legs. Privately charged plain vegetable likes to eat fat meat, eat greasy food for a long time, have symptoms of upper respiratory tract infection after 4 days of cold, manifested as runny, sore throat, no chills, fever, cough, etc. The symptoms were relieved after the treatment of oral medicine (specific details unknown). One day ago, the symptoms of frequent urination, urinal urgency, urinal pain, and not feeling the urine. The local hospital was given Litojun hydrochloride intravenous pump to suppress uterine contractions. Dexamethasone was injected intramuscularly for 6 mg to promote fetal lung maturation and indwelling urethral catheter. There was no obvious inducement to develop regular distending pain in lower abdomen with dyspnea 13 hours ago.
【作者单位】： 第三军医大学大坪医院野战外科研究所;
【分类号】：R714.2
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