Okafor U V, Efetie E R, Onwuekwe I, Uwaezeoke T C
Anaesthesia, National Hospital, Abuja, Nigeria.
Acta Anaesthesiol Scand. 2006 Mar;50(3):382-4. doi: 10.1111/j.1399-6576.2006.00920.x.
A 26-year-old woman (para 1 + 0) was managed at the National Hospital, Abuja, Nigeria for postpartum eclampsia with quadriplegia following referral from a peripheral hospital with a history of a solitary tonic/clonic seizure and unconsciousness. Her antenatal period had been uneventful until she presented with labour pains, where examination revealed an elevated blood pressure. She fitted once after delivery and remained unconscious for more than 12 h, hence the referral. The patient was managed in the intensive care unit (ICU), where she was found to be quadriplegic. She received mechanical ventilation for 21 days as part of her management in the ICU. Despite multidisciplinary care, she remained quadriplegic until a doctors' strike precluded further in-patient management. This rare complication of eclampsia is discussed, together with the patient's management.
一名26岁女性（孕1产0），因产后子痫伴四肢瘫痪，在尼日利亚阿布贾国家医院接受治疗。她此前因有一次强直阵挛发作史和昏迷，从一家基层医院转诊而来。她的孕期一直正常，直到出现宫缩疼痛，检查发现血压升高。产后她抽搐了一次，昏迷超过12小时，因此被转诊。患者在重症监护病房（ICU）接受治疗，在那里被发现四肢瘫痪。作为ICU治疗的一部分，她接受了21天的机械通气。尽管进行了多学科护理，但直到医生罢工导致无法进一步住院治疗，她一直四肢瘫痪。本文讨论了这种子痫的罕见并发症以及患者的治疗情况。
