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病历摘要陆××,女,26岁,住院号26371。因妊娠足月,腹胀、胎动消失5小时,无剧痛及阴道出血,稍有头晕,于1981年6月29日上午9时入院。患者末次月经为1980年9月17日,预产期为6月24日。妊娠经过无特殊,否认有高血压、水肿及外伤史。过去史无特殊,否认有“肝病”史。孕3产1,月经一向正常。体格检查:神志清醒,表情安静,发育中等,营养欠佳,
Medical record summary Lu × ×, female, 26 years old, hospital number 26371. Due to full-term pregnancy, abdominal distension, fetal movement disappeared 5 hours, no pain and vaginal bleeding, a little dizzy, June 29, 1981 at 9 am admitted to hospital. The last menstrual period was September 17, 1980, and the expected date was June 24. Pregnancy after no special, denied a history of hypertension, edema and trauma. Past history is no exception, denied the history of “liver disease.” Pregnancy 3 1, menstrual always normal. Physical examination: conscious, quiet expression, medium development, poor nutrition,