妊娠期肾病综合征的临床特点及处理策略

Clinical features and disposal strategies of nephritic syndrome during pregnancy

目的分析妊娠期肾病综合征(NSP)的临床特点,探讨处理策略。方法回顾性分析2002—2006年42例妊娠期肾病综合征的妊娠结局、并发症、终止妊娠的时机。结果孕妇并发腹水38例,行剖宫产终止妊娠34例,水囊引产8例,围生儿死亡6例。结论NSP是严重影响母儿预后的妊娠期并发症,尽早识别、正确处理是改善母婴结局的关键。

Objective To analyze the clinical features of nephritic syndrome during pregnancy（ NSP） and approach its disposal strategies. Methods Retrospective analysis was taken to 42 cases of NSP from 2002 to 2006, including their pregnancy outcomes, complications, modalities of termination of pregnancy, Perinatal outcomes and therapy methods. Results 38 pregnancy women complicating ascitic fluid,34 terminations of pregnancy by uterine-incision delivery, 8 inductions of labor with water bag,6 perinatal deaths. Conclusion Severe dropsy and ascitic liuid are outstanding features of NSP, 2 complication during pregnancy, by which mother and infants prognosis was severely influenced,and diagnosis earlier and disposal properly is the key point to improve mother and infants results.