Clinical observation of a patient with eclampsia
- Авторлар: Kurtser M.A.1, Spiridonova E.I.2, Khvatova A.V.2, Konoplev B.A.2, Bagdasaryan P.M.2, Kambiev R.L.2, Markov D.V.2, Kutakova Y.Y.2, Semenova T.Y.2, Petrulevich R.A.2, Medvedskaya A.K.2
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Мекемелер:
- Mother and Child Group of Companies
- Lapino Clinical Hospital, Mother and Child Group of Companies
- Шығарылым: № 1 (2025)
- Беттер: 145-149
- Бөлім: Clinical Notes
- URL: https://journals.eco-vector.com/0300-9092/article/view/675851
- DOI: https://doi.org/10.18565/aig.2024.193
- ID: 675851
Дәйексөз келтіру
Ашық рұқсат
Рұқсат берілді
Аннотация
Background: The prevalence of preeclampsia ranges from 2 to 24% of all births, eclampsia from 0.03 to 0.1%. These conditions are responsible for the highest number of maternal morbidity and mortality cases. Eclampsia is the most severe, critical form, proceeding with the development of post-eclamptic coma and other serious complications.
Case report: A 32-year-old patient presented at the emergency department of the Lapino Clinical Hospital with complaints of headache and vomiting. On admission, blood pressure (BP) was 170/100 mmHg. Magnesium therapy, nifedipine 10 mg 2 tablets orally, was started in the emergency department. Her condition worsened 1 hour 15 minutes after admission to the intensive care unit: BP level increased to 200/100 mmHg, and the patient experienced clonic convulsions. Due to the development of eclampsia, the decision was made to perform an emergency caesarean section. External drainage of the lateral cerebral ventricle was performed 12 hours after delivery. A range of therapeutic interventions were administered, including magnesium, anticonvulsant, antibacterial, hepatoprotective, antihypertensive, nootropic, neurometabolic, anticoagulant, as well as correction of hypoproteinemia and anemia. The patient was transferred to the neurology department on the 54th day after delivery and discharged home with recommendations on the 69th day. Currently, she undergoes an active rehabilitation process with a very positive dynamic.
Conclusion: The timely diagnosis of eclampsia complications, the management of patients with eclampsia, and the administration of adequate therapy should be carried out in a hospital with multidisciplinary teams, and using a multidisciplinary approach, which allows high rehabilitation results to be achieved.
Негізгі сөздер
Толық мәтін
Авторлар туралы
Mark Kurtser
Mother and Child Group of Companies
Email: kurtser@mcclinics.ru
Honored Scientist of the Russian Federation, Academician of the Russian Academy of Sciences, Professor, Dr. Med. Sci., General Director
Ресей, MoscowElena Spiridonova
Lapino Clinical Hospital, Mother and Child Group of Companies
Email: e.spiridonova@mcclinics.ru
Honored Doctor of the Russian Federation, PhD, Chief Physician
Ресей, Moscow regionAnastasia Khvatova
Lapino Clinical Hospital, Mother and Child Group of Companies
Email: a.kvatova@mcclinics.ru
PhD, Head of the Operating Unit
Ресей, Moscow regionBoris Konoplev
Lapino Clinical Hospital, Mother and Child Group of Companies
Email: b.konoplev@mcclinics.ru
General Director
Ресей, Moscow regionPetros Bagdasaryan
Lapino Clinical Hospital, Mother and Child Group of Companies
Email: a.bargasaryan@mcclinics.ru
PhD, Deputy Chief Physician for Anesthesia and Resuscitation
Ресей, Moscow regionRenat Kambiev
Lapino Clinical Hospital, Mother and Child Group of Companies
Email: anko.medvedskaya@gmail.com
PhD, Head of the Department of Neurosurgery
Ресей, Moscow regionDmitry Markov
Lapino Clinical Hospital, Mother and Child Group of Companies
Email: d.markov@mcclinics.ru
PhD, Head of the Department of Neurology
Ресей, Moscow regionYulia Kutakova
Lapino Clinical Hospital, Mother and Child Group of Companies
Email: y.kutakova@mcclinics.ru
PhD, Medical Director for Organizational, Scientific and Educational Work
Ресей, Moscow regionTatyana Semenova
Lapino Clinical Hospital, Mother and Child Group of Companies
Email: t.semenova@mcclinics.ru
Head of the Transfusion Therapy Room
Ресей, Moscow regionRuslana Petrulevich
Lapino Clinical Hospital, Mother and Child Group of Companies
Email: r.petrulevich@mcclinics.ru
obstetrician-gynecologist at the Operating Unit
Ресей, Moscow regionAnastasia Medvedskaya
Lapino Clinical Hospital, Mother and Child Group of Companies
Хат алмасуға жауапты Автор.
Email: a.medvedskaya@mcclinics.ru
clinical resident
Ресей, Moscow regionӘдебиет тізімі
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