9例院内子痫临床分析

Clinical analysis of 9 cases of eclampsia in hospital

目的总结9例院内子痫者的临床资料，探讨避免或减少院内子痫发生可能性。方法回顾2002～2009年我院诊断院内子痫9例病例．分析相关临床资料。将9例院内子痫分为2组。①子痫发作前已明确诊断重度子痫前期，并经治疗后在住院期间子痫发作者设定为A组，3例；②子痫发作前未诊断子痫前期或妊娠高血压疾病者设定为B组，6例，均为临产后发生抽搐。结果①A组在住院期间均经应用硫酸镁治疗，但子痫发作时．均尚未应用硫酸镁，停用时间为6～45h，其中产前子痫1例、产后子痫2例。②B组均于临产后活跃期发生子痫．为产时子痫，子痫发作前血压正常或轻度增高，未应用硫酸镁治疗，但经有效治疗后产后无再次抽搐发生病例。结论重度子痫前期孕妇，产前硫酸镁用量要足，产时、产后要及时应用硫酸镁。血压正常或轻度增高的孕妇，产时应重视孕妇血压的变化．避免不良刺激，并及时应用硫酸镁治疗。

Objective Retrospectively analyze the data of 9 cases of eclampsia in hospital is conducted and and the measures of how to avoid and decrease the occurrence of eclampsia were discussed. Methods Nine cases were diagnosed as eclampsia in hospital from 2002 to 2009 and their clinical data were analyzed. The 9 cases were divided into 2 groups. Group A was defined as the cases diagnosed as severe pre-eclampsia before eclampsia attacked and eclampsia at- tacked in hospital after treatments, and 3 cases met these criteria. Group B was defined as the cases diagnosed as pre-eclampsia or hypertensive disorders complicating pregnancy before eclampsia, and 6 cases met these criteria. The eclampsia in group B attacked after labor. Results ①All cases in group A were treated in hospital with Magnesium sul- fate, but none was applied with Magnesium sulfate when eclampsia attacked. The longest interval of Magnesium sulfate was 45 hours and the shortest was 6 hours. Eclampsia before labor happened in 1 case while 2 cases occurred after labor. ② The attack of Eclampsia in group B was all in the active phase. All of them had eclampsia after delivery and none of them were treated with Magnesium sulfate. The blood pressure was normal or mildly increased. The eclampsia didn＇t attack after effective treatment. Conclusion Magnesium sulfate is the most effective drug to prevent eclampsia. ①The pregnant women with severe pre-eclampsia should be given sufficient Magnesium sulfate before labor and during and after labor. ②For those women with normal and mild increased blood pressure, clinicians should give enough attention to the change of blood pressure and avoid undesirable stimulation, and timely apply with magnesium sulfate.