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患者,20岁,因第一胎孕28周抽搐二次于1992年12月23日入院。末次月经1992年5月20日,孕早期正常。入院前半月双下肢浮肿,三天前出现头痛、头晕,视物不清,未在意,至抽搐摔倒后而住院。检查:T36℃、P100次/分、R24次/分、BP22/18kPa。浅昏迷,双瞳孔等大中等散大,对光反射迟钝;颈软、双肺呼吸音粗,心界不大,心率100次/分,无杂音,肝脾不肿大。宫底脐上二指,胎先露浮,胎心弱,双下肢高度浮肿。尿蛋白((?))。“B”超示胎心、胎动正常。诊断:宫内孕28周子痫。给冬眠,解痉,降压,利尿,吸氧治疗12小时后抽搐控制,但BP仍在22～24/18～20kPa之间。因胎龄较小未采取终止妊娠措施。第三天再次出现抽搐,BP24/20kPa,
The patient, 20 years old, was admitted to hospital on December 23, 1992 because of convulsions at the first gestational week of 28 weeks. The last menstrual period May 20, 1992, normal early pregnancy. Two months before admission, his lower extremity edema, headache three days ago, dizziness, blurred vision, did not care, to convulsions fell and hospitalized. Check: T36 ℃, P100 beats / min, R24 beats / min, BP22 / 18kPa. Shallow coma, double pupils and other large and medium-sized, light reflex slow; neck soft, lungs breath sounds rough, heart, heart rate 100 beats / min, no noise, liver and spleen not swollen. Uterus at the end of the palace on the second finger, fetal first exposed floating, fetal heart rate weak, high edema of both lower extremities. Urinary protein ((?)). “B” shows fetal heart rate, normal fetal movement. Diagnosis: intrauterine pregnancy 28 weeks eclampsia. To hibernate, antispasmodic, antihypertensive, diuretic, oxygen therapy after 12 hours of convulsive control, but BP is still between 22 ~ 24/18 ~ 20kPa. Due to smaller gestational age did not take termination of pregnancy measures. The third day again convulsions, BP24 / 20kPa,