[問題] 醫學六 34
[問題] 醫學六 34
答案:MgSO4已經被證實在預防及處理子癲癇的發作極有效......
我的問題是:
1.可以"處理"嗎? (我記得好像可以prevention,但是"處理"不確定,找了好久只找到
prophylaxis也找不到可以處理的相關資料)
2."極"有效?
Magnesium sulfate therapy for seizure prophylaxis should be administered to
all women with severe preeclampsia during induction or labor. However,
prophylaxis for mild preeclampsia is controversial. ACOG recommends magnesium
sulfate in severe preeclampsia. However, ACOG has not recommended magnesium
sulfate therapy in all cases of mild preeclampsia. Some practitioners
withhold magnesium sulfate if blood pressure is stable and/or mildly elevated
and if the laboratory values for liver function tests and
platelets are mildly abnormal and/or stable.
Others feel that even patients with gestational hypertension should
receive magnesium, since a small percentage of these patients may either
have or develop preeclampsia. The ultimate decision should depend on the
comfort level of the labor and delivery staff in administering IV magnesium
sulfate. An estimated 100 patients need to be treated with magnesium sulfate
therapy to prevent one case of eclampsia
資料來源:http://emedicine.medscape.com/article/1476919-overview
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