临床上习惯用硫酸镁等解痉、镇静治疗妊娠晚期重度妊高征,但也有个别病例血压持续不降,症状体征不缓解而出现高血压危象。遇到这种情况,我们在常规药物治疗的基础上,用小剂量酚妥拉明静脉滴注,取得较好疗效。一、资料来源我院1988年6月至1990年12月间治疗困难的重度妊高征共18例。 1.一般资料年龄24～40岁。初产妇13例;经产妇5例(双胎1例)孕周37～41周。血压21.33～30/15～19.6kPa,心率110～140次/分,水肿++～+++,蛋尿自+++～+++。18例均有头痛及头晕,发生抽搐者1例,合并心衰2例,先兆心衰3例;11例心电图 Clinical habits such as magnesium sulfate antispasmodic, sedative treatment of severe pregnancy-induced hypertension pregnancy syndrome, but there are individual cases of continuous decline in blood pressure, symptoms and signs do not ease the emergence of hypertensive crisis. In this case, we routinely treated with a small dose of intravenous infusion of phentolamine, and achieved good results. First, sources of information Our hospital from June 1988 to December 1990 treatment of severe pregnancy-induced hypertension in a total of 18 cases. 1. General Information Age 24 to 40 years old. 13 cases of primipara; maternal 5 cases (twins in 1 case) gestational age 37 to 41 weeks. Blood pressure 21.33 ~ 30/15 ~ 19.6kPa, heart rate 110 ~ 140 beats / min, edema ++ ~ +++, egg urine from +++ ~ +++. 18 cases had headache and dizziness, convulsion in 1 case, 2 cases of heart failure, threatened heart failure in 3 cases; 11 cases of electrocardiogram