先兆子癎和子癎是产科的严重并发症之一,可发生在产前、产时和产后。产后子癎大多发生在产后48 h 内。迟发性产后子癎(late postpartum eclampsia,LPPE)为产后2～28 d发生的子癎,较少见,但发病率相对较高,现报道1例。临床资料患者女性,26岁,因“产后第5天突发抽搐1次”于2007年4月14日入急诊。患者为足月双胎妊娠剖宫产术后,术中出血少。术前血压120/80 mm Hg(1 mm Hg=0.133 kPa)。尿蛋白(-)。孕前血压90/70 mm Hg,定期产前检查,偶有血压高达140/90 mm Hg,未诊断妊娠期高血压。产后第4天诉头痛,第5天出现一过性视物不清,中午 Pre-eclampsia and sons are one of the most serious complications of obstetrics and can occur during prenatal, intrapartum and postnatal periods. Most postpartum child 癎 occurred within 48 h postpartum. Late postpartum eclampsia (LPPE) is a subfamily that occurs from 2 to 28 days postpartum. It is rare, but the incidence is relatively high. One case has been reported. Clinical data Patients Female, 26 years old, due to “5 days postnatal sudden convulsions ” on April 14, 2007 into the emergency room. Patients with full-term twin pregnancy after cesarean section, less bleeding during surgery. Preoperative blood pressure was 120/80 mm Hg (1 mm Hg = 0.133 kPa). Urinary protein (-). Pre-pregnancy blood pressure 90/70 mm Hg, regular prenatal examination, occasional blood pressure up to 140/90 mm Hg, not diagnosed with gestational hypertension. Postpartum day 4 complained of headache, appeared on the 5th day as a visual uncertainty, noon