论文部分内容阅读
例1,孕34周以头痛、突发失明就诊。查体:血压20/16kPa。浮肿(++++),子宫如孕8月大小,右枕前位,胎心132次/分,尿蛋白(+++)。眼底检查:视网膜小动脉痉挛,未见渗出。在给扩容、硫酸镁、甘露醇、速尿治疗后,头痛减轻,但视物仍不清,给654-2 20mg静推,同时20mg肌注,3小时后,开始能看见人影晃动,6小时后可分清手指,以后逐渐恢复,次日改为654-2 10mg,日3次口服,维持至分娩。
Example 1, 34 weeks pregnant with headache, sudden blindness treatment. Physical examination: blood pressure 20 / 16kPa. Edema (++++), uterus, pregnancy size in August, right anterior occipital, fetal heart rate 132 beats / min, urinary protein (+++). Fundus examination: retinal artery spasm, no exudation. In the expansion, magnesium sulfate, mannitol, furosemide treatment, headache to reduce, but the visual remains unclear, to 654-2 20mg push, while 20mg intramuscular injection, 3 hours later, began to see the figure shaking, 6 hours After the fingers can be divided, then gradually recovered, changed to 654-2 10mg the next day, 3 times daily oral maintenance until delivery.