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[子痫前期和子痫的治疗]

[Treatment of pre-eclampsia and eclampsia].

作者信息

Delmis J, Drazancić A

出版信息

Jugosl Ginekol Perinatol. 1985 Sep-Dec;25(5-6):111-6.

PMID:3837133
Abstract

From 1964 to 1984 (a 21-year period), out of 102.277 deliveries, there were 80 cases (0.8%) of eclampsia and 443 cases (4.3%) of pre-eclampsia. One patient (1.25%) with eclampsia died after delivery. Out of 539 children from mothers with pre-eclampsia and eclampsia, 44 (8.2%) died after birth. The delivery of the greatest number of women with pre-eclampsia and eclampsia was terminated vaginally (81.5% and 77.5% respectively). In the prevention and treatment of convulsions the authors use Diazepam and also the antihypertensive drug Diazoxide, along with the administration of diuretics (Furosemide) if necessary. For the reconstitution of fluid, they apply plasma expanders, electrolyte solutions, and 10% glucose infusions. All patients with eclampsia should be delivered by the vaginal induction of labour or by caesarean section as soon as the convulsions are under control.

摘要

从1964年至1984年(共21年),在102,277例分娩中,有80例子痫(0.8%)和443例先兆子痫(4.3%)。1例子痫患者(1.25%)产后死亡。在患有先兆子痫和子痫的母亲所生的539名儿童中,44名(8.2%)出生后死亡。大多数患有先兆子痫和子痫的妇女经阴道分娩(分别为81.5%和77.5%)。在惊厥的防治中,作者使用地西泮以及降压药二氮嗪,必要时还使用利尿剂(速尿)。为补充液体,他们使用血浆扩容剂、电解质溶液和10%葡萄糖注射液。一旦惊厥得到控制,所有子痫患者都应尽快通过阴道引产或剖宫产分娩。

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