重度子痫（Severe eclampsia）.doc

重度子痫（Severe eclampsia） Anesthesia of cesarean section in severe pre eclampsia and eclampsia Training course, courseware Some time ago, we participated in the regional anesthesia seminar, and discussed the anesthetic problems of cesarean section in a severe preeclampsia eclampsia Maternal age: 25; admission diagnosis: pregnant 33W2, G4P0, ROA, pre eclampsia and Hellp syndrome. On admission, convulsions have been associated with coma 20 + hours, blood pressure 200/130 mmHg, urgent examination of blood routine: platelet count 38 * 109/L, electrolyte blood magnesium 2.3mmol/L. When entering, still be deep coma, blood pressure 200/105mmHg, SpO289%. After admission, BP, HR, ECG and SpO2 were monitored to open upper limb access at the same time. The use of general anesthesia induced by propofol, fentanyl, 50mg 0.1mg, scoline 100 mg, tracheal intubation, mechanical ventilation, propofol, isoflurane anesthesia, fetal plus fentanyl and atracurium. Remove the fetal Apgar score only 3 points, emergency tracheal intubation, endotracheal suction secretions and amniotic fluid net, the T type control breathing, 5% sodium bicarbonate 6ml + 5% glucose 6ml umbilical vein injection of adrenaline, 1ml of umbilical vein injection and 1ml injection in the heart, 5 minutes after the Apgar score of 6, with a pipe to send pediatric neonatal care ward. The vital signs of the patients were stable, and the transfusion of crystalline fluid + plasma + plasma was 1000ml, and the urine volume was 800ml. Postoperative tube Send ICU. Definition： Severe preeclampsia pregnant women aged 160/110 mmHg refers to the blood pressure, urine protein, serum creatinine (+ +) 106 mmol/ L, persistent headache or other neurological or visual impairments, persistent abdominal discomfort, until the termination of pregnancy or placenta after delivery of 48h, symptoms will disappear Back. Eclampsia is the result of a more severe pre eclampsia. The main symptoms are eclampsia and convulsions in addition to the above 3