Bouaggad A, Laraki M, Bouderka M A, Harti A, el-Mouknia M, Barrou H, Benaguida M
Service d'Anesthésie-Réanimation, CHU Ibn Rochd, Casablanca, Maroc.
Rev Fr Gynecol Obstet. 1995 Apr-May;90(4):205-7.
Sixty cases of severe eclampsia were treated in an intensive care unit between January 1989 and September 1993. Mean age was 26, and 70% of patients were primipara. The pregnancy has been unsupervised in almost all cases. All had visceral lesions and/or hematologic problems and there was impaired conscious level in 9 cases out of 10. Medical treatment involved the control of seizures and of hypertension. Cesarean section was performed in 34 cases. The maternal death rate was 23.3%. Our experience indicates that mortality depends upon visceral lesions (cerebral, disseminated intravascular coagulation, acute pulmonary edema, Hellp syndrome). Better awareness of severity factors in preeclampsia improves both maternal and fetal prognosis by precisely indicating the best time for fetal extraction.
1989年1月至1993年9月期间，60例重度子痫患者在重症监护病房接受治疗。平均年龄为26岁，70%的患者为初产妇。几乎所有病例的孕期均未得到监测。所有患者均有内脏病变和/或血液学问题，十分之九的患者存在意识水平受损。药物治疗包括控制惊厥和高血压。34例行剖宫产。孕产妇死亡率为23.3%。我们的经验表明，死亡率取决于内脏病变（脑部、弥散性血管内凝血、急性肺水肿、Hellp综合征）。提高对子痫前期严重程度因素的认识，通过准确指示最佳的胎儿娩出时间，可改善母婴预后。
