剖腹产后子痫的重症监护:病例报告

Ardian Pratiaksa, Eko Setijanto
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摘要

导言:子痫是先兆子痫的一种严重形式,以高血压和癫痫发作为特征,对产妇和胎儿的健康构成严重威胁。子痫在全球先兆子痫孕妇中的发病率为 2%-8%,仍然是导致产妇死亡的主要原因,尤其是在资源匮乏的地区。鉴于产后子痫可能引发严重的并发症,麻醉团队必须全面了解产后子痫的治疗方法和具体注意事项。病例介绍:我们报告了一名患有子痫的 19 岁剖腹产后妇女。患者在入住重症监护室的第一天就反复发作。在重症监护室接受强化治疗后,患者的临床症状有所改善,并于第二天拔管。该病例强调了对子痫患者产后护理采取整体和综合方法的重要性。重症监护室团队不仅解决了患者的直接症状,还解决了潜在的生理和神经失调问题,从而有效地控制了患者的病情,促进了她的康复。结论重症监护室的产后护理必须具有人文关怀和全面性,目的是避免加重患者的病情和恶化患者的预后。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intensive Management of Post Caesarean Section with Eclampsia: A Case Report
Introduction: Eclampsia, a severe form of pre-eclampsia characterized by high blood pressure and seizures, poses a significant threat to both maternal and fetal health. With a global incidence of 2-8% among pregnancies affected by pre-eclampsia, eklampsia remains a leading cause of maternal mortality, particularly in low-resource settings. Given the potential for serious complications associated with postpartum eklampsia, it is crucial for anesthesia teams to possess a comprehensive understanding of the condition's management and the specific considerations required in the postpartum setting. Case presentation: We report a 19 years old woman post caesarean section with eclampsia. The patient had a recurrent seizure on the first day at the ICU. After had an intensive therapy at the ICU the patient showed a clinically improvement and extubated on the second day. The case highlights the importance of a holistic and comprehensive approach to postpartum care in eklampsia patients. By addressing not only the immediate symptoms but also the underlying physiological and neurological derangements, the ICU team was able to effectively manage the patient's condition and facilitate her recovery. Conclusion: Postpartum care in the intensive care unit needs to be hollistic and comprehensive with the aim of not aggravating the patient's condition and worsening the patient's prognosis.
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