病例报告:G1P0A0孕33周合并子痫

Thare Pratama Petisa, Agung Ikhssani
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摘要

子痫是子痫前期妇女的惊厥发作。先兆子痫是一种妊娠障碍,伴有高血压和尿中大量蛋白质或其他器官功能障碍。发病可能发生在分娩前、分娩中或分娩后。最常发生在怀孕的后半段。癫痫发作表现为强直阵挛型,通常持续约一分钟。当反复测量血压大于或等于140/90mmHg,并有器官功能障碍的迹象,包括蛋白尿、血小板减少症、肾功能不全、肝功能受损、肺水肿、脑症状或腹痛时,可诊断为子痫前期。通常,孕妇在癫痫发作(惊厥)前就有高血压和蛋白尿。长时间(持续性)头痛,视力模糊畏光(即强光引起不适),腹痛上腹区(腹部中部脐以上或脐处)和胃右上象限(右侧下方)胸腔),精神状态改变(神志不清)是发作前后可能出现的症状之一。本病例报告患者T夫人G1P0A0怀孕33周,尚未分娩子痫。
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Case report: G1P0A0 33 weeks pregnant with Eclampsia
Eclampsia is the onset of convulsions in women with preeclampsia. Pre-eclampsia is a pregnancy disorder with high blood pressure and large amounts of protein in the urine or other organ dysfunction. Onset may be before, during, or after delivery. Most often occurs during the second half of pregnancy. Seizures manifest as a tonic-clonic type and usually last about a minute. Pre-eclampsia is diagnosed when repeated blood pressure measurements are greater than or equal to 140/90mmHg, and signs of organ dysfunction, including proteinuria, thrombocytopenia, renal insufficiency, impaired liver function, pulmonary edema, cerebral symptoms, or abdominal pain. Usually, pregnant women have hypertension and proteinuria before the onset of seizures (convulsions). Long-lasting (persistent) headache, blurred vision Photophobia (i.e., the bright light causes discomfort), Abdominal pain Either in the epigastric region (the middle part of the abdomen above the umbilicus or at the umbilicus) and the right upper quadrant of the stomach (below the right side) rib cage), mental status changes (confusion) is one of these symptoms may appear before or after the seizure occurs. This case report reports the patient Mrs. T G1P0A0 33 weeks pregnant, not yet inpartu with Eclampsia.
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