先兆子痫的重症监护管理1例报告

Liliriawati Ananta, Kahar, Wiwi Monika Sari, Mentari Faisal Putri
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摘要

背景:先兆子痫的患病率约占所有孕妇的5% - 15%。如果处理不当,它会导致严重的并发症,甚至导致母亲和胎儿死亡。病例介绍:一名36岁的家庭主妇在到达医院前以呼吸短促为主诉被急诊室收治。病人还抱怨头疼。体格检查意识基本正常,血压162/100 mmHg,心率90 x/min,心率24x/min,心率96%。从妊娠36-37周腹部超声根据生物测定,胎儿活胎、胎心、宫内、横卧右头背下-臀位呈现,实验室在急诊室结果,血红蛋白:10,4,白细胞,13.020,血小板359,000,红细胞压积31,尿样:11,创造素:0.5,葡萄糖:72,蛋白尿:+2。结论:对子痫前期患者,在重症监护病房进行正确的诊断和适当的治疗,并由多学科团队进行管理,可以预防子痫前期并发症,改善子痫前期患者的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intensive Care Management of Preeclampsia: A Case Report
Background: The prevalence of preeclampsia is around 5% - 15% of all pregnant women. It can cause severe complications and even death in the mother and fetus if not adequately managed. Case presentation: A 36-year-old housewife was admitted to the emergency department with a chief complaint of shortness of breath before hospital arrival. The patient also complained of headaches. From the physical examination, consciousness was compos mentis, blood pressure 162/100 mmHg, HR 90 x/min, RR 24x/min, SpO 96%. From abdominal ultrasound gravid 36-37 weeks according to biometry, fetal alive, gemelli, intrauterine, transverse lie right head dorsoinferior- breech presentation, the Laboratory in emergency room result, haemoglobin: 10,4, leukocyte, 13.020, thrombocyte 359.000, hematocrit 31, ureum: 11, creatinin: 0.5, glucose: 72, protein urine: +2. Conclusion: In patients with preeclampsia, proper diagnosis and appropriate treatment in the intensive care unit and management by a multidisciplinary team can prevent preeclampsia complications and improve preeclamptic patients' outcomes.
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