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青海西宁地处高海拔地区(2261米),气侯寒冷、缺氧,并且氧分压低(12.48kpa),易导致于痛的发生,使于痫孕妇死亡率增高。本文回顾分析了我院三年间抢救子痫36例,发病率0.77%,较北京0.2%高。围产儿死亡率为23.08%,较北京6.1%高。因此,按时做好产前检查,产时、产后密切观察血压预防子痫的发生。子痫发生后,以安定、硫酸镁和冬眠Ⅰ号控制抽搐和选择最佳时机以阴道分娩和剖宫产终止妊娠是处理子痫的两个重要环节。
Xining, Qinghai Province is located in high altitude (2261 meters), the cold climate, hypoxia, and low oxygen pressure (12.48kpa), easily lead to the occurrence of pain, increased mortality in pregnant women with epilepsy. This article retrospectively analyzed 36 cases of eclampsia rescue in our hospital in three years, the incidence rate was 0.77%, 0.2% higher than Beijing. The perinatal mortality rate was 23.08%, higher than 6.1% in Beijing. Therefore, on time to do a prenatal examination, delivery, close observation of postpartum blood pressure prevention of eclampsia. After eclampsia, with diazepam, magnesium sulfate and hibernation Ⅰ control twitch and choose the best time to vaginal delivery and cesarean termination of pregnancy is to deal with two important aspects of eclampsia.