论文部分内容阅读
患者25岁,住院号1045.初孕38周子痫,于1986年12月16日急诊入院.该患妊娠早期经过尚好,孕32周后出现下肢水肿伴头迷,未经治疗.今晨7时起无诱因在家抽搐3次,每次持续30秒左右.检查:患者神志不清,轻度贫血貌,全身明显水肿.Bp24.0/17.3kPa,P 86次/分,宫底于剑突下2cm,无宫缩,双胎,先露为头,于脐下可听到二个胎心音,分别为160次/分、170次/分,立即在解痉降压镇静治疗同时,行剖宫产术.术中病人一直未清醒,但未抽搐.术中取出两女活婴.术后Bp 18.7/13.3kPa.术后第一日患者呈昏睡状态,问话不答,左侧上、下肢弛缓性瘫痪.Bp 22.7/14.7kPa.颈强直,双瞳孔等大,对光反射尚可.眼底:视乳头色泽浅淡,边缘
The patient was 25 years old and hospitalized 1045. The first trimester 38 weeks of eclampsia was admitted to the emergency department on December 16, 1986. The patient had been admitted to the emergency department early in pregnancy and had lower extremity edema after 32 weeks pregnant with untold treatment. No incentive to twitch at home 3 times, each lasting about 30 seconds.Check: patients with delirium, mild anemia, systemic edema.Bp24.0 / 17.3kPa, P86 / min, the uterus at the bottom of the xiphoid 2cm, no contractions, twins, first dew for the head, under the navel can be heard two fetal heart sound, respectively, 160 beats / min, 170 beats / min, immediately antispasmodic antihypertensive sedation treatment at the same time, Intrauterine surgery patients have not been awake, but did not convulsions .After surgery to remove the two female live births .Bp 18.7 / 13.3kPa .On the first day after the patient was lethargic, asked not to answer, on the left, Lower limb flaccid paralysis .Bp 22.7 / 14.7kPa. Ankylosis of the neck, double pupil and so on, the light reflex is acceptable. Fundus: Optic light color, edge