患者,24岁,孕24周,2天前头痛,于第3日突然摔倒,神志不清,BP 24/16kPa,尿蛋白(+++),以重度妊高征,产前子闲发作收入产科。 入院后病情发展迅速,18小时内间断发生抽搐8次,因考虑孕期时间短,尽量保胎,虽经镇静,降颅压、硫酸镁降血压等,患者仍昏迷,病情控制不佳,于次日凌晨急诊剖宫产终止妊娠,早产儿产后死亡,术后因疼痛刺激,抽搐再次发作2次,并出现血尿,当晚 Patient, 24 years old, 24 weeks pregnant, 2 days before headache, sudden falls on day 3, confusion, BP 24 / 16kPa, urinary protein (+++), severe PIH, prenatal idiopathic episodes Income obstetric. Admitted to hospital after the rapid development of the disease, intermittent seizures occurred within 18 hours 8 times, due to consider the short duration of pregnancy, try to keep the fetus, although the sedation, decreased intracranial pressure, magnesium sulfate and lower blood pressure, patients are still comatose, poor condition control, Early morning cesarean section termination of pregnancy, premature children postpartum death, postoperative pain stimulation, convulsions attack again 2 times, and hematuria, the night