Shikanova Svetlana, Karimova Bakyt, Sarsembayev Mukhit, Abdelazim Ibrahim A, Starchenko Tatyana, Bekzhanova Mariya
Department of Obstetrics and Gynecology No. 1, West Kazakhstan Marat Ospanov Medical University, Aktobe, Kazakhastan.
Department of Obstetrics and Gynecology, Ain Shams University, Cairo, Egypt.
J Family Med Prim Care. 2019 Jun;8(6):2147-2149. doi: 10.4103/jfmpc.jfmpc_377_19.
Severe preeclampsia (PE) have considerable adverse outcome especially in low-resource countries. A 21-year-old pregnant woman with severe PE and intrauterine fetal death, delivered by cesarean section (CS). The CS complicated by atonic postpartum hemorrhage (PPH). She was transferred by the air ambulance to the tertiary center of West Kazakhstan University-intensive care unit, once she developed anuria. She was carefully monitored after exclusion of maternal sepsis and HELLP (hemolysis, elevated liver enzymes and low platelet) syndrome and she developed postpartum eclampsia and right partial lobe intracranial hemorrhage (ICH). She was managed by multi-disciplinary team with proper and clear management plan and discharged from the hospital on the 20 postpartum day in good general condition. The complications of severe PE need clear multi-disciplinary team management plan to avoid the adverse outcome of the severe PE.
重度子痫前期（PE）会产生相当严重的不良后果，尤其是在资源匮乏的国家。一名21岁患有重度子痫前期及宫内胎儿死亡的孕妇，通过剖宫产（CS）分娩。剖宫产术后并发宫缩乏力性产后出血（PPH）。一旦她出现无尿，便由空中救护车转送至西哈萨克斯坦大学重症监护病房的三级中心。在排除产妇败血症和HELLP（溶血、肝酶升高和血小板减少）综合征后，对她进行了仔细监测，随后她出现了产后子痫和右颞叶颅内出血（ICH）。多学科团队为她制定了恰当且明确的管理方案，她在产后第20天身体状况良好地出院。重度子痫前期的并发症需要清晰的多学科团队管理方案，以避免重度子痫前期产生不良后果。
