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子痫合并弥散性血管内凝血虽较为罕见,但为严重威胁产妇安全的疾病之一,积极正确抢救具有重要的临床意义。 病历摘要:患者31岁,1978年2月23日晨因第一胎妊娠8个月,产前子痫入院。入院前45天出现高血压,下肢浮肿。入院前1小时抽搐一次,伴头昏,双眼发黑。检查:体温正常,脉搏98次,血压160/110,全身无淤斑,心肺正常,下肢浮肿++,子宫如8个月妊娠大小,ROA,胎心正常,胎先露-1→O,胎膜存,无阴道出血。 入院后用冬眠Ⅰ号半量静脉点滴,血压略有下降,1小时后血压回升至170/120,头昏加
Although eclampsia with disseminated intravascular coagulation is relatively rare, it is of great clinical significance to actively and correctly rescue one of the serious diseases threatening maternal safety. Medical record Abstract: Patient 31 years old, February 23, 1978 morning due to first-trimester pregnancy for 8 months, prenatal eclampsia hospitalization. 45 days before admission, high blood pressure, lower extremity edema. Convulsions 1 hour before admission, with dizziness, black eyes. Check: normal body temperature, pulse 98 times, blood pressure 160/110, systemic ecchymosis, normal heart and lungs, lower extremity swollen ++, uterine size such as 8 months of pregnancy, ROA, fetal heart rate normal, fetal first revealed -1 → O, fetal Membrane storage, no vaginal bleeding. Hypnosis Ⅰ after admission with a half dose intravenous drip, blood pressure decreased slightly, 1 hour after the blood pressure rose to 170/120, dizziness