Lubarsky S L, Barton J R, Friedman S A, Nasreddine S, Ramadan M K, Sibai B M
Department of Obstetrics and Gynecology, University of Tennessee, Memphis.
Obstet Gynecol. 1994 Apr;83(4):502-5. doi: 10.1097/00006250-199404000-00003.
To describe the clinical and neurologic findings in patients with late postpartum eclampsia (convulsions beginning more than 48 hours, but less than 4 weeks, after delivery).
This study evaluated all patients with the diagnosis of late postpartum eclampsia managed at our institution between August 1977 and July 1992.
There were 54 cases of late postpartum eclampsia among a total of 334 cases of eclampsia during the study period. Late postpartum eclampsia constituted 56% of total postpartum eclampsia and 16% of all cases of eclampsia. Convulsions began from postpartum days 3-23 (mean 6). Thirty women (56%) had been identified as preeclamptic before their convulsions. A history of either severe headache or visual disturbances before convulsion was elicited in 83% of the patients. During the study period, eight women not included in the study group had late postpartum seizures attributed to other causes.
Severe headache or visual disturbance frequently antedates late postpartum eclampsia. Only eight of 62 patients with late postpartum seizures had identifiable etiologies other than eclampsia.
描述晚发型产后子痫（产后48小时后至4周内发生惊厥）患者的临床和神经学表现。
本研究评估了1977年8月至1992年7月在我院诊治的所有诊断为晚发型产后子痫的患者。
在研究期间的334例子痫患者中，有54例为晚发型产后子痫。晚发型产后子痫占产后子痫总数的56%，占所有子痫病例的16%。惊厥发生在产后3至23天（平均6天）。30名女性（56%）在惊厥前被诊断为先兆子痫。83%的患者在惊厥前有严重头痛或视觉障碍史。在研究期间，8名未纳入研究组的女性发生了归因于其他原因的晚发型产后惊厥。
严重头痛或视觉障碍常先于晚发型产后子痫出现。62例晚发型产后惊厥患者中，只有8例有子痫以外的可识别病因。
