北京妇产医院子痫的发病率由1960～1965年的0.12％,降至1981～1982年的0.07％(P<0.01),同时期产妇死亡率由4.2％降至0,围产儿死亡率由16.2％降至0。治疗方法从1981年的定时给强镇静剂,改为静滴大量硫酸镁和血浆扩容,并不失时机的选用剖腹产终止妊娠。剖腹产使用率1981～1982年达50％。 讨论了子痫的预防、治疗和剖腹产的应用。 The incidence of eclampsia in Beijing Maternity Hospital decreased from 0.12% in 1960 ~ 1965 to 0.07% in 1981 ~ 1982 (P <0.01), while the maternal mortality rate decreased from 4.2% to 0 at the same period. The perinatal mortality rate was reduced from 16.2% to 0. Treatment from the time of sedation in 1981 to sedatives, intravenous infusion of a large number of magnesium sulfate and plasma expansion, and no loss of timing of the choice of cesarean termination of pregnancy. Caesarean section utilization from 1981 to 1982 reached 50%. Discusses the application of prevention, treatment and caesarean section of eclampsia.