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子痫是妊高征发展的最严重阶段,也是经常遇到的产科急症之一.目前仍系孕产妇死亡的一个重要原因.如何及时、恰当地进行药物治疗及选择最佳时机和方式终止妊娠是子痫处理的两个重要环节,为探讨此问题,现将我院自1983年1月至1988年1月5年间抢救的120例子痫患者分析如下。资料与方法一、发病率自1983年1月至1988年1月住院分娩总数为8432例,发生子痫者120例.其中产前子痫83例,产时子痫16例,产后子痫21例,发病率为1.4%(120/8452).二、临床表现本组120例子痫发生抽搐次数≤3次者49例,3～5次40例,>5次31例;神志清晰者72例,昏迷48例;合并心衰5例,肾衰2例,酸中毒(?)8例,宫内死胎9例,胎盘早剥5例,贫血23例。血压及尿蛋白变化见表1.
Eclampsia is the most serious stage of PIH development and one of the frequently encountered obstetric emergencies.It is still an important cause of maternal death.How to timely and properly drug treatment and choose the best time and method to terminate pregnancy Is two important aspects of eclampsia treatment, to explore this issue, now the hospital from January 1983 to January 1988 rescue of 120 cases of eclampsia were analyzed as follows. Materials and methods First, the incidence of hospital delivery from January 1983 to January 1988 a total of 8432 cases of child eczema occurred in 120 cases, including 83 cases of prenatal eclampsia, epilepsy during delivery, 16 cases of postpartum eclampsia 21 Cases, the incidence was 1.4% (120/8452). Second, the clinical manifestations of the group of 120 cases of seizures convulsions ≤ 3 times in 49 cases, 3 to 5 times in 40 cases,> 5 times in 31 cases; conscious in 72 cases , Coma 48 cases; 5 cases of combined heart failure, renal failure in 2 cases, 8 cases of acidosis (?), 9 cases of intrauterine fetal death, placental abruption in 5 cases, anemia in 23 cases. Blood pressure and urinary protein changes in Table 1.