75例子痫治疗的回顾性分析

The treatment of 75 patients with eclampsia

本文报道我院1988年1月～1993年12月间75例子痫的治疗情况。根据笔者的实践经验认为，首选硫酸镁负荷量加安定静注，同时应用脱水剂和地塞米松以减轻脑水肿、降低颅内压。不宜常规使用冬眠药物。扩容疗法也应慎重使用。积极终止妊娠是控制病情的有效措施。病情严重者以选择剖宫产为宜。胎龄＜28周或胎死宫内者，可采用利凡诺引产。

The treatment of 75 patients with eclampsia from 1988. 1~ 1992. 12 was reported. The authors concluded that the effective measures for arresting convulsion would included intravenous administration of magnesium sulphate and diazepam, and dehydration drugs with dexamethasone, which reduced intracranial pressure and brain edema. Lytic thexture and volume expansion therapy should be used with caution. Termination of pregnancy Was also an effective method in control of convulsions. Casarean section for the severe cases was often the procedures of choice. In patients with gestation less than 28 weeks or intrauterine fetal death, intrauterine injection of rivanol for induction of labour was recommended.