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产后24小时以上的高血压、蛋白尿初产妇发生惊厥。是子痫还是其他原因?

Convulsions in hypertensive, proteinuric primiparas more than 24 hours after delivery. Eclampsia or some other cause?

作者信息

Brown C E, Cunningham F G, Pritchard J A

出版信息

J Reprod Med. 1987 Jul;32(7):499-503.

PMID:3625613
Abstract

A diagnosis of eclampsia has been considered inappropriate when the onset of a convulsion is greater than 24 hours after delivery. The observations presented here provide strong support for waiving the 24-hour rule, at least when convulsions from no other apparent cause and accompanied by hypertension and proteinuria occur in a primipara as late as 10 days postpartum. Late postpartum eclampsia seems an appropriate term for this very uncommon condition.

摘要

当抽搐发作发生在分娩后24小时以上时,子痫的诊断被认为是不恰当的。本文所提供的观察结果有力地支持了放弃24小时规则,至少当初产妇在产后10天出现无其他明显原因且伴有高血压和蛋白尿的抽搐时。晚发型产后子痫似乎是这种非常罕见情况的一个恰当术语。

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