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目的探讨尼莫地平治疗妊娠高血压综合征脑水肿的疗效。方法口服尼莫地平 30 mg,每 4小时 1次 ,至分娩后 2 4小时。结果用药 1～ 5天脑水肿得以控制 ,平均 3天血压下降 ,脑动脉 S/D值明显下降。其中自然分娩 4例 ,剖宫产 16例 ,新生儿出生时 APGAR评分 ,8～ 10分 18例 ,4～ 7分 2例 ,均存活。结论尼莫地平治疗妊娠高血压综合征性脑水肿疗效显著 ,在用药过程中要注意监测血压、心率及胎儿情况
Objective To investigate the efficacy of nimodipine in treating cerebral edema in pregnancy induced hypertension. Methods nimodipine 30 mg once every 4 hours until 24 hours after delivery. Results The brain edema was controlled 1 to 5 days after treatment. The average blood pressure dropped 3 days and the S / D value of cerebral arteries decreased obviously. Among them, 4 cases were spontaneous delivery, 16 cases were cesarean section, APGAR score was born at birth, 18 cases were 8 to 10 minutes and 2 cases were in 4 to 7 minutes, all survived. Conclusion Nimodipine treatment of pregnancy induced hypertension cerebral edema significant effect in the medication process should pay attention to monitoring blood pressure, heart rate and fetal status