D'Addesio J P
Department of Emergency Medicine, McLeod Regional Medical Center, Florence, South Carolina.
Ann Emerg Med. 1989 Oct;18(10):1105-6. doi: 10.1016/s0196-0644(89)80940-0.
Reported is the case of an 18-year-old woman, nine days postpartum, who presented to the emergency department with slightly elevated blood pressure, headache, and blurred vision. She had minimal swelling of her face and hands. The patient then began having focal seizure activity. A diagnosis of postpartum eclampsia was made, and she was started on IV magnesium sulfate and hospitalized. The patient responded well to IV magnesium sulfate and required no antihypertensives. The subtle presentation of a nine-day postpartum patient who developed eclampsia, and additional points of controversy and differential diagnoses are discussed.
报告了一名18岁产后九天的女性病例，她因血压略有升高、头痛和视力模糊前往急诊科就诊。她的面部和手部有轻微肿胀。随后患者开始出现局灶性癫痫活动。诊断为产后子痫，开始静脉注射硫酸镁并住院治疗。患者对静脉注射硫酸镁反应良好，无需使用降压药。本文讨论了一名产后九天发生子痫患者的细微表现，以及其他争议点和鉴别诊断。
