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患者女,37岁,因停经31+1W,双胎,全身皮肤瘙痒2+月入院。查TBA>40umol/L,ALT85.2U/L,全身皮肤有多处散在抓痕。入院后给予营养,保肝,降酶,促胎肺成熟等治疗。 请问: 1、该ICP患者在入院后针对疾病特点病情观察的内容有哪些?(15分) 2、如该患者在入院后24天突然出现胎膜早破,请问该如何紧急处理?(15分) 该产妇入院24天因ICP、双胎、胎膜早破急诊行子宫下段剖宫产术+双侧输卵管结扎术,于23:08取出一男婴,体重2300g,Apgar评分10分。于23:11取出一男婴,体重2350g ,Apgar评分10分。胎盘自娩,手术顺利。术后予以预防感染,对症治疗后,产妇一般情况好,泌乳畅,子宫复旧佳,ALT值略高。腹部切口II/甲愈合,恶露少,色暗红。两新生儿吸吮,反应佳,黄疸指数正常,术后6天随母出院。 3、请对该患者进行出院健康教育。(15分)
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