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1977～1990年14年中美国Parkland医院有15例先兆子痫或子痫伴失明产妇,同期分娩165000例。妊娠合并高血压的发病率每年为12％～14％,其中子痫70例。本文15例中子痫10例,严重先兆子痫5例,均有蛋白尿和高血压。无癫痫、偏头痛或胶原血管性病史。平均年龄21.7±5.3岁(16～34岁),<25岁13例(87％)。8例初孕妇;6例有一次分娩史;1例为多产妇。孕龄为18～40周(平均34±5.3周),其中10例<37周。5例先兆子痫中1例单纯皮质盲;2例皮质盲合并意识迟钝;2例视网膜剥离,其中1例皮质盲,
In the 14 years between 1977 and 1990, Parkland Hospital in the United States had 15 cases of preeclampsia or eclampsia with blind mothers, 165,000 cases of childbirth during the same period. The incidence of pregnancy-associated hypertension is 12% to 14% annually, of which 70 cases of eclampsia. This article 15 cases of neutron epilepsy in 10 cases, severe preeclampsia in 5 cases, both proteinuria and hypertension. No history of epilepsy, migraine or collagen vascular disease. The mean age was 21.7 ± 5.3 years (16 to 34 years) and <25 years (13%, 87%). 8 cases of early pregnant women; 6 cases had a history of childbirth; 1 case of maternal. The gestational age ranged from 18 to 40 weeks (mean, 34 ± 5.3 weeks), with 10 of 37 weeks. In 5 cases of preeclampsia, only 1 case of cortical blindness; blind cortical blindness in 2 cases and 2 cases of retinal detachment, including 1 case of cortical blindness,