Japanese
English
- 有料閲覧
- Abstract 文献概要
- 1ページ目 Look Inside
24歳の女性が早期分娩のために入院した.妊娠第3期の間中軽度の血圧上昇が認められ,更に4年前の最初の妊娠後直ちに高血圧を来したという既往歴があった.入院時の彼女の血圧は最高血圧が210,最低血圧が120であり,この高血圧は,3ポンド9オンスの児を出産した後も持続した.
分娩後第1日目に痙攣発作,黄疸と尿排泄量が428ccという乏尿が起こった.
A 24-year-old female was admitted to the hospital in premature labor*1. Her history revealedslightly elevated blood pressure during the last trimester of pregnancy*2 and hypertension immediately following her first pregnancy four years ago. Upon admission*3 her blood pressurewas 210/120 and it remained elevated following the delivery of a three pound, nineounce maleinfant. She developed seizures, jaundice and oliguria*4 with an output of 428cc of urine onher first postpartum day. Laboratory findings are summarized in Table I. Blood smears fromthe first postpartum week are illustrated in Figures 1-3. The patient continued to be hypertensive despite the use of antihypertensive drugs*5 and her mental state deteriorated to confusion, drowsiness, and regressive behavior. She continued to have periodic seizures. Theoliguria progressed to anuria and peritoneal dialysis*6 was required.
Copyright © 1980, Igaku-Shoin Ltd. All rights reserved.