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不经肠道应用硫酸镁在阻止子痫和防止预痫时的抽搐非常有效.作者对32例预痫病人进行前瞻性研究,比较连续静脉输入与肌注硫酸镁的血镁水平.32例轻度预痫(血压至少140/90mmHg、蛋白尿)和重度预痫病人(间隔6小时两次血压至少160/110mmHg、蛋白尿)中14例连续静脉内给与,50%硫酸镁4g溶于5%葡萄糖250ml在15分钟内滴完,再用1g/dl/hr或2g/dl/hr的维持量维持各7例;另18例肌注,对重度预痫用20%硫酸镁20ml(4g)于4~5分钟输完,再肌注50%硫酸镁溶液10ml(5g)于臀部外上1/4处,然后每4小时肌注50%硫酸镁溶液10ml(5g),只要膝腱
The parenteral administration of magnesium sulfate is very effective in preventing eclampsia and preventing seizures in pre-epilepsy.We performed a prospective study of 32 patients with pre-eclampsia to compare the blood magnesium levels of continuous intravenous and intramuscular magnesium sulfate .32 patients with mild Fourteen consecutive intravenous doses of preeclampsia (blood pressure of at least 140/90 mmHg, proteinuria) and severe preeclampsia (blood pressure of at least 160/110 mmHg twice daily for 6 hours, proteinuria) were dissolved in 5 The remaining 250 ml of glucose were dripped in 15 minutes and maintained in each of 7 cases with 1 g / dl / hr or 2 g / dl / hr of maintenance dose. The other 18 cases were intramuscularly injected with 20 ml (20%) magnesium sulfate In 4 to 5 minutes to lose, and then intramuscular injection of 50% magnesium sulfate solution 10ml (5g) in the buttocks on the 1/4, and then every 4 hours intramuscular injection of 50% magnesium sulfate solution 10ml (5g), as long as the knee tendon