Taner C E, Hakverdi A U, Aban M, Erden A C, Ozelbaykal U
Department of Obstetrics and Gynecology, Dicle University, Diyarbakir, Turkey.
Int J Gynaecol Obstet. 1996 Apr;53(1):11-5.
To review the management of eclampsia in our institution.
The prevalence, management and outcome of women with eclampsia over a period of 8 years were reviewed at our referral medical center. There were 444 patients with eclampsia among 5757 deliveries (1 in 12.96 deliveries or 7.71% of deliveries). Most of the cases were uneducated and had received no antenatal care. One hundred eighty-one cases were nulliparous (40.77%). High parities of more than five were observed in 27.93% of cases. A standard magnesium sulfate regimen, similar to Prichard's intramuscular regimen, was used.
Magnesium sulfate effectively controlled the convulsions. The incidence of abdominal delivery among 397 cases with ante- and intrapartum eclampsia was 50.12%. Perinatal mortality was very high (591.47% 0) for all cases. Maternal complications were serious and led to maternal death in 42 women (9.46%).
Eclampsia is still a serious obstetric complication particularly in uneducated women who do not receive antenatal care.
回顾我院子痫的管理情况。
在我院转诊医疗中心回顾了8年间子痫患者的患病率、管理情况及结局。5757例分娩中有444例子痫患者（每12.96例分娩中有1例，占分娩总数的7.71%）。大多数病例为未受过教育且未接受产前检查者。181例为初产妇（40.77%）。27.93%的病例产次超过5次。采用了与普里查德肌内注射方案类似的标准硫酸镁方案。
硫酸镁有效控制了惊厥。397例产前和产时子痫患者的剖宫产率为50.12%。所有病例的围产儿死亡率非常高（591.47‰）。产妇并发症严重，导致42名妇女死亡（9.46%）。
子痫仍然是一种严重的产科并发症，尤其是在未受过教育且未接受产前检查的妇女中。
