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在妊娠末期或分娩后发生的皮质盲少见,作者报告1例重症妊娠中毒症的初产妇,在分娩后立即出现了意识障碍、皮质盲。患者29岁,9月1日因妊娠中毒症入院。9月2日分娩后突然失明,继之处于嗜睡至昏迷状态,体温38℃,血压160/100mmHg,贫血,全身浮肿。双眼稍有光感,瞳孔正园等大,对光反射灵活,眼球运动正常,无眼震,眼底呈中度高血压性改变,乳头无水肿,颈强明显,Kernig征阳性,四肢运动感觉正常,深反射正常。尿蛋白1.2g/日,末梢血相贫血和白细胞增高,血清总蛋白为4.8g/dl,血清IgG明显降低(380mg/dl),血凝
Cortical blindness, which occurs at the end of pregnancy or after childbirth, is rare, and the authors report a primipara of severe gestational toxicosis with disturbance of consciousness and cortical blindness immediately after childbirth. The patient was 29 years old and admitted to hospital on September 1 for gestational toxicosis. September 2 after sudden loss of childbirth blindness, followed by lethargy to coma, body temperature 38 ℃, blood pressure 160 / 100mmHg, anemia, body edema. Eyes slightly light sense, the pupil is the park and other large, flexible reflection of light, normal eye movements, no nystagmus, moderate hypertensive retinal changes, nipple edema, neck strong, Kernig sign positive, limbs feel normal exercise , Deep reflex normal. Urine protein 1.2g / day, peripheral blood leukocytes and anemia, total serum protein 4.8g / dl, serum IgG was significantly lower (380mg / dl), blood coagulation