Abstract
Sixty-nine consecutive patients with eclampsia have been cared for at Parkland Memorial Hospital using magnesium sulfate to control convulsions followed soon by appropriate steps to accomplish delivery. Apresoline was given intravenously if hypertension was quite severe. Morphine, large doses of barbiturates, tranquilizers, alkaloidal vasodepressors, diuretics, and hypertonic solutions of dextrose, mannitol, urea, and sodium chloride were avoided. All the mothers survived. The perinatal salvage rate was 79 per cent for all fetuses and 89 per cent for those weighing 1,000 grams or more. All fetuses alive when eclampsia was diagnosed and weighing 2,000 grams or more survived. None of the commonly performed laboratory tests proved to be uniquely essential to the successful treatment of eclampsia.
Published Version
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