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Anonymous asked in 健康疾病與處置其他:疾病 · 1 decade ago

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Preeclampsia-eclampsia occurs in 6−8% of all pregnancies.

5 Eclampsia, defined as the occurrence of

seizures in pregnant women without other neurological

disorders, occurs mainly before, during, or

within 48 hours of delivery.6 It often occurs when

signs and symptoms of preeclampsia are ignored or

are not detected because of deficient prenatal care.

However, a majority of cases develop seizure attacks

in well-managed hospitals, even in industrialized

countries.7 When convulsions occur in the

postpartum period as long as 16 days after birth,2

making an accurate diagnosis is more difficult. Late

onset postpartum eclampsia can even occur in normotensive

women with uncomplicated pregnancies,

not to mention those with preeclampsia.8 Approximately

40% of women who experienced eclampsia

late in the postpartum period failed to manifest

classic clinical signs and symptoms of preeclampsia.

9 They always had prodromal symptoms such as

malaise, headache, nausea, vomiting, and blurred

vision prior to the onset of eclampsia.

Eclampsia can also be accompanied by lifethreatening

complications, such as pulmonary edema,

renal and hepatic failure, disseminated intravascular

coagulopathy, and HELLP syndrome.6 HELLP

syndrome, with manifestations of hemolysis, elevated

liver enzyme and low platelet count, was

first described in 1954.10 Its severity ranges from a

mild and self-limited course to a fulminant process

leading to multiple organ failure. In rare cases,

HELLP syndrome has occurred in normotensive pregnancy,

only with epigastric pain and tenderness on

palpation at the right hypochondrium as initial symptoms.

4 In most cases, the postpartum HELLP syndrome

would resolve spontaneously within 48 hours.

A profound thrombocytopenia in the antenatal period

may indicate a higher risk of HELLP syndrome.

A short course of postpartum therapy with dexamethasone

has proved helpful for thrombocytopenia

in a parturient with HELLP syndrome.

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  • 1 decade ago
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    討論子癇前期驚厥在6−8%所有懷孕中發生。 5驚厥,被定義作為發生 在孕妇的奪取沒有其他神经混乱,發生主要前面,在期間或者在48個小時delivery.6内它經常發生,當子癇前期的標誌和症狀被忽略或由於短少产前护理,沒有被查出。然而,大多数案件開发奪取攻擊在很好被處理的醫院,甚而工業化的 countries.7,當抽風在發生產後期間,只要在誕生以後的16天, 2 做一個準確診斷是更加困難的。 後起始產後驚厥在血壓正常的婦女可能甚而發生以不複雜的懷孕,不必提及那些與preeclampsia.8體驗驚厥婦女的大约40% 後在產後期間沒有體現子癇前期的經典臨床標誌和症狀。 9他們總是有有前驅症狀的症狀例如不適,頭疼,噁心,嘔吐和弄髒在驚厥之前起始的視覺。驚厥可能由威脅生命也伴隨複雜化,例如肺水肿,腎臟和肝衰竭,傳播的血管內coagulopathy和HELLP syndrome.6 HELLP 綜合症狀,當溶血的顯示,被舉起肝臟酵素和低血小板计数,是首先描述在1954.10它的嚴肅從一條溫和和自我控制的路線范围到一個猛烈的過程导致多器官失敗。 偶然地, HELLP綜合症狀在血壓正常的僅懷孕出现,與上腹部的痛苦和柔軟 在正确的疑病症的觸診作為最初的症狀。 4在許多情況下,產後HELLP綜合症狀在48個小時内將本能地解決。深刻血小板減少症在胎兒期間可以表明HELLP綜合症狀的更高的风险。產後療法一個短训班與dexamethasone的證明了有用血小板減少症的在有HELLP綜合症狀的一個生產。

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