2

(pregnancy)

40; (),:,-13, 10:,13-26W,700g,30cm:,26-40W,3200g,50cm3742

IgG hCG 75-95-

1 , LHFSHTSHhCG--hCG7--hCGn-hCGhCGnhCG8-10160-18023~27W

2 ml/min/m20.4 ml/min/m2hCG,hCGa,hCGhCG12

2160(96)671-2g/24h PLhCG, hCG/ PL100PL35PL

3 36CHO(

1030ml20400ml381000mlRH P43217-2

45HbRBCWBCWBC Fib65ESRPTAPTT5

TG CHO 40%;CHEALP3CK,ALBGLOBIgGIgD () 20Cr BUN UA4W

1 362 3(PTH) CaPTH404 TT4TT3FT4 Graves5

-hCGhPLP-S1G-

hCGhCG810100KU/LhCG

22(IRMA)(ELISA)

CG (IgA),, HCGHCG99.8% 25 mU/ml48~72 RIAEIA99.9%

RBCWBChCG

hCG hCG1010000-12000ng/ml20000-40000ng/ml hCG55-110

1. ectopic pregnancy 2.

3. 4. hCGhCG

1. HP

2. 20HPPr(2+~4+)3. ,FDP(5-30)AT-III4.0g/L94PIH5

2 +++

1/130005%5%-25% 35362080CTASTALT,TBIL>171umol/LGLU UAC

HELLPPIHDIC,PLTHELLP27366024

LDH>600U/LASTALT2-10PLT

ASTALT10BIL

Cr>265.2umol/L>10.71mmol/L

37

IRDS10-151260X

IRDS -20-70

/(L/S)(DSPC) DSPC85%DSPC L/S>2.0DSPC>5mg/L97-98DML/S>2.0IRDS

P440 L/S P439

lamellar bodies ,

1 20-2490,1/18007/1000AFPAFP90

2Down302121Downor1/(60080060AFP3358%hCG AFPE3

318Edwrd81/3500-1/80001:4(AFPhCGE3)

AFPhCGE316~18 5%30%70-80%(16-18)(1) AFP (2) HCG (3) uE3 (4) A (Inhibin A)

1(AFP) AFPWM70KDAFPAFPALB1/10,93mg/ml0.2 mg/mlAFP1016260.5mg/ml2ng/ml

RIAELISA(IEMA)1685-95AFP30DownAFP

(IRMA)IEMADown21620-40kU/L,2hCG

90E3 DownE33E3

TORCH1618

Down18hCGAFP

PIH123

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