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患者 女,24岁,因间断性抽搐4天入院。孕5月出现妊娠高血压征,足月顺产后血压正常,一般情况好,无感染。产后1个月无明显诱因突然抽搐,发作时意识不清,牙关紧闭,呼吸抑制,口唇及颜面紫绀、双眼向左上凝视,四肢强直抖动,小便失禁,约3分钟缓解。共发作4次,第2次发作后出现全头胀痛及非喷射状呕吐,同时右肢体无力。既往体健。入院查体:体温36.5℃,脉搏?8次,呼吸19次,血压18/12kPa。神清、语畅、精神差、双瞳孔2.0mm,光反射存在,眼底视盘水肿。右中枢性面舌瘫。右肢腱反射(±),肌力Ⅲ级,
Female patient, 24 years old, admitted to hospital with intermittent convulsions for 4 days. Pregnancy in May showed signs of pregnancy-induced hypertension, full-term normal blood pressure after birth, the general situation is good, no infection. 1 month postpartum no obvious incentive for sudden convulsions, seizures unconscious, teeth closed, respiratory depression, lips and face cyanosis, eyes staring to the left, tonic jitter limbs, urinary incontinence, about 3 minutes to ease. A total of 4 episodes, the first two episodes after a full headache and non-spray-like vomiting, while the right limb weakness. Past physical health. Admission examination: body temperature 36.5 ℃, pulse? 8 times, breathing 19 times, blood pressure 18 / 12kPa. God clear, language smooth, poor spirit, double pupil 2.0mm, light reflex exists, fundus optic disc edema. Right central facial paralysis. Right tendon reflexes (±), muscle strength Ⅲ grade,