妇产科病例评论辩论(国外英文资料).doc

妇产科病例讨论 1 case data Ren shanshan, female, 26 First visit: Main complaint: G2P0 pregnancy 26 + 2 weeks, first pregnancy test. Medical history: the rule of pingsu menstruation, LMP: 2006-05-02, DEC: 2007-2-9, after January HCG (+), the early pregnancy response is obvious. In April, however, the pregnancy has not been done before. No palpitations, headaches, malignancies. History of the past: no history of high blood pressure, no history of surgical trauma, no history of drug allergy. Reproductive history: 0-0-1-0, 1-0, 3 years ago. Physical examination T: 37 ℃; P: 110 times/min; R: 20 times per minute; Bp: 140/90 MMHG. The heart and lungs were unhearable and abnormal. The lower extremity refers to the case of a sadistic edema (+). The abdomen is soft, not contractions, the placental heart 155 times. The abdomen is 70cm, and the lower part of the umbilicus is estimated to be 600 grams. Auxiliary examination Urine routine: protein + Blood routine: 3.4 x 1012 / L, Hb: 117g/L, WBC: 13.7 x 109 / L, N: 87%, L10 %, PLT: 152 * 109 / L BPD: 56mm, FC: 38mm, the placental heart 156 times. Clinical diagnosis: G2P0 pregnancy 26 + 2 weeks, head. Mild pih Processing: Take a break, check your blood pressure one time per day, and get one every week. If you have headaches, dizziness, nausea, etc. Daily self-count. Question: as an obstetrician and gynecologist, how should you evaluate and respond to the nursing guidelines for pregnant women? Second visit: Main action: G2P0 pregnancy 29 + 1 week, blood pressure rise 3 months, headache, dizziness 3 days, nausea 1 day. Medical history: the rule of pingsu menstruation, LMP: 2006-05-02, DEC: 2007-2-9, after January HCG (+), the early pregnancy response is obvious. In April, the pregnancy was not done before. A pregnancy test three weeks ago found a rise in blood pressure, about 140/90 MMHG. The postpregnancy test was not timely. In 3 days, self-conscious headache, dizziness, and gradually aggravate, with the vision blurred, the appearance o