妊高征伴胎儿宫内发育迟缓的分娩时间探讨──附10例临床分析

Analysis of delivery time for pregnancy-induced hypertension associated with intrauterine growth retardation-Clinical analysis of 10 cases

回顾性分析了１９９０年１月至１９９２年４月间收治的１０例妊高征伴胎儿宫内发育迟缓（ＩＵＧＲ）。结果表明，妊高征时伴有ＩＵＧＲ的比例较高，为２１．７％。１０例中围产儿死亡４例（４０％），２例发生在３２周，２例在３６周。３３～３５周分娩４例以及３７～３８周分娩２例均存活。说明分娩时间与围产儿死亡率之间有一定关系。认为妊高征伴ＩＵＧＲ时适时终止妊娠很重要。在３３～３５孕周时终止妊娠，围产儿死亡率最低。

The delivery time in 10 cases of pregnancy-induced hypertension associated with intrauterine growth retardation (IUGR) was analyzed.The results showed that the incidence of pregnancy-induced hypertension assocated with IUGR was 21.7% and the perinatal death was 4 cases (40%), of which, 2 cases were happened at 32 weeks' gestation and 2 cases at 36 weeks. There were 4 cases delivered at 33～35 weeks' gestation and 2 cases at 37～38 weeks in the remaining cases that all were alive. The results indicate that the delivery time for pregnancy-induced hypertension associated with IUGR correlates with the perinatal mortality and the optimal delivery time is 33～35 weeks' gestation. The successful perinatal outcome depends on the choice of the best time and way of delivery.