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1、InpatientHistoryName:YaliZhouSex:FemaleAge:38yearWard:No.8Bed:No.816Maritalstatus:MarriedBirthplace:ShanghaiNationality:HanProvider:Patient,reliable.Recorddate:2005-12-13G&OHistory:GW:30+5weeks,G2P0,LMP:2005-5-10;EDC:2006-2-17ChiefComplaint:G2P0,GW:30+5weeks.Thispatientpresentshypertens
2、ionfor3months,andsystemicedemafor2weeks.HistoryofPresentillness:Thepatienthadregularmensespreviously.LMP:2005-5-10;EDC:2006-2-17.UricHcGtestwaspositiveafter40daysofamenorrhea.Fetalmovementswerefeltin4months’gestation.In12+2weeks’gestation,thepatient’sbloodpressurewasfound160/90mmHgwhens
3、hecompletedherfirstante-partumexaminationinHospitalofWomenandChildren’sHealthinHuangpuDistrict.Therewasnosymptomsatthattime,andshedidn’ttakeanytreatment.Halfamonthago,shepresentededemaonboththelowerextremities,whichexpandedtothewholebodygradually.ShecametoourhospitalonDec,5thandtookhers
4、encondante-partumexamination.Thebpwas200/160mmHg,anduricprotein(++)ondipsticktest.Shehasoccasionalheadaches,butnoepigastricpain,novisualdisturbances,nooliguria,nonauseaorvomiting,nothoracicpain.Shewasadmittedon2005-12-6.Afteradmission,sheappearsclear,withagoodappetite,goodsleeping,andno
5、rmalurinationanddefecation.Pasthistory:Patientdenieshistoryofhepatitisandtuberculosis.Nohistoryofallergies.Vaccinatedregularly.Pastmedicalhistoryisunremarkable.Surgicalhistorydenied.Nohistoryofseveretraumaandtransfusion.Reviewofsystems:Respiratorysystem:Nohistoryofchroniccoughorbreathle
6、ssness.Nohemoptysisordyspnea.Cardiovascularsystem:Noprecordialpain.Nopalpation.Nosyncope.Fordetailsseepresenthistory.Gastroentestinalsystem:Nohistoryofchronicabdominalpainanddiarrhea;Nonauseaorvomiting;Nohematemesisandbloodstool.Endocrinicsystem:Nopolydipsiaorpolyphasiaorpolyuria.Nosudd
7、enchangeofcharacterandintelligence.Hematologicsystem:Nobruisesorabnormalhemorrhage.Norecurrentoralulcerandgingivalbleeding.Genitourinarysystem:Nodecreasedlibido;Novaginaldrynessorvaginalbleeding;HistoryofSTDdenied;Nourinaryfrequency.Noprecipitanturinationordysuria.Nohematuriaor
