Odum C U, Akinkugbe A
Dept. of Obstetrics and Gynaecology, College of Medicine, Univ. of Lagos, Nigeria.
West Afr J Med. 1991 Jan-Mar;10(1):371-6.
A retrospective study of the primary causes of maternal deaths in the eclamptics treated in the Lagos University Teaching Hospital (LUTH) over a 20-year period, from 1st January 1967 through 31st December 1986, was carried out. During this period, a total of 845 cases of eclampsia were treated and 91 maternal deaths were associated with eclampsia or its complications. The maternal deaths included 66 predelivery and 25 postpartum eclamptics respectively. Most of the maternal deaths (n = 86) occurred in unbooked cases of eclampsia. The maternal mortality rate was 105/1000 eclamptic deliveries. The common primary causes of deaths in eclampsia in the LUTH during the period under study were renal failure (14.5%), cerebrovascular haemorrhage (12.7%), cardio-pulmonary failure (12.7%), disordered intravascular coagulation syndrome (DIC) (10.9%), and cardiac failure (8%). The Post Mortem Rate (PMR) in the dead eclamptics in the LUTH was 60%. Scrutiny of data suggested that many of the maternal deaths could have been avoided if the patients were brought to the hospital in good time for treatment.
对1967年1月1日至1986年12月31日这20年间在拉各斯大学教学医院（LUTH）接受治疗的子痫患者孕产妇死亡的主要原因进行了一项回顾性研究。在此期间，共治疗了845例子痫患者，91例孕产妇死亡与子痫或其并发症相关。孕产妇死亡分别包括66例产前子痫患者和25例产后子痫患者。大多数孕产妇死亡（n = 86）发生在未登记的子痫病例中。孕产妇死亡率为每1000例子痫分娩中有105例死亡。在研究期间，LUTH子痫患者死亡的常见主要原因是肾衰竭（14.5%）、脑血管出血（12.7%）、心肺衰竭（12.7%）、血管内凝血障碍综合征（DIC）（10.9%）和心力衰竭（8%）。LUTH子痫死亡患者的尸检率为60%。对数据的审查表明，如果患者能及时就医接受治疗，许多孕产妇死亡本可避免。
