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妊娠高血压综合征(妊高征)出现视力障碍时,人们首先考虑妊高征视网膜病变,而较少考虑皮质盲,后者与妊高征合并出现较为罕见.笔者1983年9月～1991年5月,诊治的妊高征合并脑血管意外8例中发现2例,报告于下:例1:患者,女,22岁,农民,1989年10月(孕8月)渐头晕,头痛,双下肢浮肿,血压升高20.0～24.5/12.0～14.0Kpa,间断服用地巴唑,双氢克尿噻、浮肿时轻时重.1989年12月6日10:00足月顺产后头晕较重,血压(24.0/14.5Kpa.右侧肢体乏力,双目视物不清,肌注利血平1支,翌日晨双目失明来院,既往无高血压史,查体,T36.5℃,P80次/分,Bp22.0/14.0Kpa,神清,双眼视力丧失,无光感,双眼球运动自如,双瞳孔等大正圆,直径3.0mm,光反射存在,双眼底
Pregnancy-induced hypertension (PIH) visual impairment, the first people to consider pregnancy-induced hypertension retinopathy, while less consideration of cortical blindness, the latter combined with pregnancy-induced hypertension appears more rare. Author 1983 September ~ 1991 May, diagnosis and treatment of pregnancy-induced hypertension and cerebrovascular accident in 8 cases were found in 8 cases, the report is below: Example 1: Female, aged 22, farmer, 1989 October (pregnant August) Gradually dizziness, headache, Lower extremity edema, elevated blood pressure 20.0 ~ 24.5 / 12.0 ~ 14.0Kpa, intermittent taking methimazole, hydrochlorothiazide, edema when light heavy. December 6, 1989 10:00 full moon dizziness heavier, Blood pressure (24.0 / 14.5Kpa. Right limb weakness, blurred binocular vision, intramuscular injection of reserpine 1, the next morning morning blindness to the hospital, no previous history of hypertension, physical examination, T36.5 ℃, P80 / Min, Bp22.0 / 14.0Kpa, Shen Qing, binocular vision loss, no light feeling, easy movement of both eyes, double pupil and other large round, diameter 3.0mm, light reflection exists, both eyes