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重度妊娠高血压综合征并脑疝比较罕见,国内文献报道不多,现将我院所见2例报告如下: 例1:患者女,27岁。于1982年1月7日入院。末次月经27/4,1981年,预产期4/2,1982年,系孕36周G_1P_0,双胎。血压160/100毫米汞柱,重度浮肿,伴头痛、头迷。尿蛋白(+++),有颗粒管型。经解痉、镇静、降压、扩容等治疗五天不见好转,病情加重,呈昏迷状,呼吸快,瞳孔不等大。眼底:视网膜血管不规则痉挛A:V=1:2.5,未见渗血。确诊重度妊娠高血压综合征并小脑幕疝。征得家属同意,在病房内行剖腹产术,经过顺利,分娩一男一女。术后输血800毫升,抗感染,消除脑水肿,纠正水、离子紊乱和酸碱失调等治疗,病情逐渐好转,于术后11天病情稳定出院。
Severe pregnancy-induced hypertension syndrome and hernia is relatively rare, few reports in the domestic literature, the hospital now see 2 cases are as follows: Example 1: Female patient, 27 years old. January 7, 1982 admission. The last menstrual 27/4, 1981, the expected date of birth 4/2, 1982, Department of pregnancy 36 weeks G_1P_0, twins. Blood pressure 160/100 mm Hg, severe edema, with headache, head fans. Urinary protein (+++), a granular tube. After antispasmodic, sedative, antihypertensive, dilatation and other treatment did not improve for five days, the condition worsened, was coma, rapid breathing, pupil ranging from big. Fundus: retinal vascular irregular spasm A: V = 1: 2.5, no bleeding. Diagnosis of severe pregnancy-induced hypertension and cerebellar tentorial hernia. With the consent of their families, Caesarean section in the ward, after a smooth, childbirth a man and a woman. Blood transfusion after 800 ml, anti-infection, elimination of cerebral edema, correction of water, ion disorders and acid-base disorders and other treatment, the condition gradually improved after 11 days of stable disease was discharged.