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患者,女,46岁,因停经9个月,不规则腹痛及阴道流出血性分泌物2天,于1986年1月16日入院。查体:P100,R30,BP200/120,发育营养中等,烦燥不安,检查不合作。心肺(一),肝脾未触及,下肢轻度浮肿。宫底在脐与剑突之间,右枕前位,宫口开全,胎膜已破,胎头未完全固定。胎心率160次/分。检查时见抽搐1次,约持续3分钟。实验室检查:尿蛋白(+++),透明管型0～2/hpf,颗粒管型2～3/hpf。入院诊断:足月妊娠,产时子痫。入院后给予患者苯巴比妥纳0.1g、10%硫酸镁10ml 及利血平1mg 肌注。观察4小时后产程无进展,且惊厥仍有发作,胎心率增至200次/分,而
The patient, female, 46 years old, was admitted to hospital on January 16, 1986 because of irregular meninges and vaginal bleeding hemorrhagic secretions for 9 months after menopause. Physical examination: P100, R30, BP200 / 120, moderate developmental nutrition, irritability, check uncooperative. Cardiopulmonary (A), liver and spleen not touched, lower extremity mild edema. Uterus at the end of the umbilical and xiphoid, right anterior occiput, cervix open, fetal membranes have been broken, fetal head is not completely fixed. Fetal heart rate 160 beats / min. Check see convulsions 1, about 3 minutes. Laboratory tests: urinary protein (+++), transparent tube 0 ~ 2 / hpf, granular tube 2 ~ 3 / hpf. Admission diagnosis: term pregnancy, eclampsia during labor. After admission to patients with phenobarbital 0.1g, 10% magnesium sulfate 10ml and reserpine 1mg intramuscular injection. 4 hours after birth, no progress was observed, and the seizure still seizures, fetal heart rate increased to 200 beats / min, and