Graeber Brendon, Vanderwal Tamara, Stiller Robert J, Werdmann Michael J
Yale University School of Medicine, New Haven, CT 06510, USA.
Am J Emerg Med. 2005 Mar;23(2):168-70. doi: 10.1016/j.ajem.2004.04.035.
Preeclampsia is a complication of pregnancy associated with hypertension and proteinuria. Preeclampsia may be associated with grand mal seizures and is termed eclampsia. Historically, eclampsia occurring more than 48 hours after delivery, known as late postpartum eclampsia, was thought to be uncommon; however, recent evidence suggests that its incidence is increasing. In addition, the presentation of late postpartum preeclampsia-eclampsia may differ from that occurring during the pregnancy. This contributes to difficulty in diagnosing late postpartum preeclampsia-eclampsia in an emergency department setting. We report 2 cases of late postpartum eclampsia presenting 8 days after delivery, which highlight the unique features of this disorder and discuss some of the difficulties in managing these patients. Greater awareness and knowledge of this disorder by ED physicians should improve outcomes in these potentially life-threatening cases.
子痫前期是一种与高血压和蛋白尿相关的妊娠并发症。子痫前期可能与癫痫大发作有关，称为子痫。从历史上看，产后48小时后发生的子痫，即晚发型产后子痫，被认为并不常见；然而，最近的证据表明其发病率正在上升。此外，晚发型产后子痫前期-子痫的表现可能与孕期发生的情况有所不同。这导致在急诊科环境中诊断晚发型产后子痫前期-子痫存在困难。我们报告了2例产后8天出现的晚发型产后子痫病例，突出了这种疾病的独特特征，并讨论了管理这些患者的一些困难。急诊科医生对此疾病有更高的认识和了解，应能改善这些潜在危及生命病例的治疗结果。
