子痫病例的临床研究

B. Kanani, N. Garala
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摘要

背景:子痫是一种危及生命的疾病,是全世界孕产妇死亡的最主要原因之一。急性肾功能衰竭、DIC、产后出血和其他问题,以及不良的胎儿结局,都与之有关。目的:本研究旨在强调子痫病例的母婴结局。方法:对2016年1月1日至2017年6月30日在政府三级转诊中心RZ医院就诊的75例子痫患者进行评估。观察妊娠并发症、硫酸镁治疗效果、胎儿结局及分娩方式。结果:子痫发病率为0.55%,其中62.66%为初产妇,76%的患者年龄在21 ~ 26岁之间,84%的患者社会经济地位较低,每75例中有2例产妇死亡。66.67%的患者妊娠至足月(37 ~ 42周)。71%(53例)患者顺产,其中9例自然分娩,44例顺产。22例需要剖宫产。结论:早期发现和预防妊高征、先兆子痫及其他子痫危险因素有助于降低妊高征的发生。镁毒性、急性肾功能衰竭(ARF)、弥散性血管内凝血(DIC)和产后出血(PPH)是本试验中母体的不利事件,92%的女性没有出现问题。
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Study on Cases of Eclampsia: A Clinical Approach
Background: Eclampsia is a life-threatening illness that is one of the most leading causes of maternal death around the world. Acute renal failure, DIC, postpartum haemorrhage, and other problems, as well as adverse foetal outcomes, are all linked to it. Aims: This study aimed to highlights fetomaternal outcomes in cases of Eclampsia. Methods: From January 1, 2016, to June 30, 2017, a total of 75 cases of eclampsia were assessed at RZ Hospital, a government tertiary referral centre. The complications of pregnancy, the efficiency of magnesium sulphate treatment, the foetal outcome, and the route of delivery were all investigated. Results: Eclampsia had a 0.55 percent incidence rate, with 62.66 percent of all cases being primigravida, 76 percent of cases being between the ages of 21 and 26, 84 percent of cases being from lower socioeconomic position, and maternal mortality occurring in two of every 75 cases. 66.67 percent of patients were pregnant to term (37 to 42 weeks).71 percent (53) of patients delivered vaginally, with 9 spontaneous deliveries and 44 induced vaginal deliveries. 22 patients required caesarean section. Conclusions: Early detection and prevention of pregnancy-induced hypertension and pre-eclampsia, as well as other eclampsia risk factors, may assist to lower the occurrence of the condition. Magnesium toxicity, acute renal failure (ARF), disseminated intravascular coagulation (DIC), and postpartum haemorrhage (PPH) were the maternal unfavourable events in this trial, with 92 percent of women having no problems.
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