Nerozpoznaná preeklampsie, která se rozvinula do eklamptického záchvatu s fatálním koncem

Česká verzia

Authors: R. Matlach ¹; P. Makovický ²; P. Makovický ³
Authors place of work: Katedra zdravotnických oborů a ochrany obyvatelstva, Fakulta biomedicínského inženýrství, ČVUT, Kladno ¹; Katedra biológie, Pedagogická fakulta, Univerzita J. Selyeho, Komárno ²; Laboratórium veterinárnej histopatológie, Komárno ³
Published in the journal: Ceska Gynekol 2018; 83(4): 276-280
Category: Case Report

Summary

Objective: A fatal case of a 37 year old women in the fifth month of pregnancy, who showed no signs of life and who could not be revived is reported.

Design: Case report.

Settings: Forensic expert in healthcare, Liberec; Department of Health Care Disciplines and Population Protection, Faculty of Biomedical engineering, Czech Technical University in Prague; Department of Biology, Faculty of Education, J. Selye University, Komarno, Slovak republic; Laboratory of Veterinary Histopathology in Komarno, Slovak republic.

Methods: The forensic necropsy was done. Toxicological and histological investigation of sampled material were done.

Results: The autopsy revealed bleeding into the brain chambers. The toxicology results were negative. The histopathological examination showed glomerulonephritis, bloody lungs, and massive bleeding in all sampled organs. From this it was concluded that her dead was caused by unrecognized preeclampsia, which developed into eclamptic attack with fatal consequence.

Conclusion: To avoid these fatalities we recommend that the possibility of preeclampsia is investigated early in pregnancy especially in women with high blood pressure, for whom we also recommend more frequent controls in these early stages of pregnancy. We also recommend more intensive medical care for pregnant women with preeclamptic signs, including the possibility of a shorter schedule of management in specialist care in hospital, from the first symptoms onwards.

Keywords: blood pressure, hypertension, preeclampsia, risk-gravidity

Zdroje

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