Kumagai M, Tanaka M, Matsumiya N
Department of Anesthesia, Iwaki Kyoritsu General Hospital.
Masui. 1998 Mar;47(3):306-9.
Two preeclamptic parturients, who presented with generalized seizure, underwent emergency cesarean section without confirmed diagnosis. They developed focal neurological signs postoperatively, and were subsequently diagnosed as subarachnoid hemorrhage due to rupture of an intracranial aneurysm and possibly of arteriovenous malformation. Diagnosis should be made at the earliest possible time for the optimal anesthetic as well as postoperative management of the mother.
两名患有先兆子痫的产妇出现全身性癫痫发作,在未确诊的情况下接受了急诊剖宫产。她们术后出现局灶性神经体征,随后被诊断为颅内动脉瘤破裂以及可能的动静脉畸形导致的蛛网膜下腔出血。应尽早做出诊断,以便为母亲进行最佳的麻醉和术后管理。