eclampsia Whenapregnantpatientconvulsesonemustimmediatelythinkofeclampsiaparticualrlyduringthelasttrimester.However,theimmediatetreatmentisthesamenomatterwhatthegenesisoftheconvulsion.ManagementoftheConvulsion A.Insertsomethingbetweentheteethtopreventlacerationofthetongueand/orlips;paddedtongueblade,mouthgag,wallet,etc.Clearmouthofmaterialthatmayhavebeenregurgitatedfromthestomach.Ventilatebymouthtomouthorwithbagandmaskifrespiratoryexchangeisinadequate.Laryngoscopywithendotrachealintubationmaybenecessary. B.Insertanairwaytofacilitateairexchangeandtopreventswallowingofthetongue. C.Placesomethingundertheheadtoavoidtrauma-sweater,towel,etc. D.Ifitisavailable,administeroxygen.Inattemptstoascertainthecauseoftheseizure,ahistoryshouldbeobtainedfromtherelativesorfriends;bodyandpurseshouldbesearchedforidentificationofepilepsy,ordrugssuchasinsulinoramphetamines.Quickneurologicandfunduscopicexaminationisindicatedtoruleoutbraintrauma,braintumor,etc.Thepresenceofhypertension,edemaandproteinuriaallindicateaneclampticseizure.（摘自 RICHRDH.SCHWARZ,M.D.etc.HandbookofObstetricemergencies.Medicalexaminationpublishingcompany,inc.65-36FreshmeadowLaneFlushing,N.Y.11365.41.）
