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子痫是一种妊娠期危及生命的并发症。母死亡率可高达30%,脑出血是主要死因。阿尔及利亚Annaba的Ibn Rochd医院44例子痫妇女在抽搐发作24小时内行头部CT扫描。同时与15例妊娠高血压孕妇和10名正常血压孕妇进行对比,以证实一些异常图象的特异性。 44例子痫妇女中31例产前子痫,13例产后子痫,最早发生于孕24周,最迟产后3天。初产妇20例,经产妇24例,有8例是在再次抽搐前作CT。由三名神经放射学家复习全部CT片。结果44例中26例CT扫描正常,无脑水肿征象,病人抽搐1～8次。3例显示脑出血或脑血栓征象,临床上均有局部神
Eclampsia is a life-threatening complication of pregnancy. The maternal mortality rate can be as high as 30%, cerebral hemorrhage is the main cause of death. Forty-four eclampsia women at Ibn Rochd Hospital, Annaba, Algeria, underwent head CT scans within 24 hours of the seizure. At the same time with 15 cases of pregnancy-induced hypertension and 10 normal pregnant women were compared to confirm the specificity of some abnormal images. Among the 44 cases of epilepsy women, 31 cases were preeclampsia and 13 cases were postpartum eclampsia. The earliest occurred in 24 weeks of pregnancy, the most 3 days after delivery. 20 cases of primipara, 24 cases of maternal, 8 cases before CT again for convulsions. Three neuroradiologists reviewed all CT slices. Results Totally 26 cases of CT scan were normal in 44 cases without signs of cerebral edema and the patients twitched 1 ~ 8 times. 3 cases showed signs of cerebral hemorrhage or cerebral thrombosis, are clinically local God