妊高征剖宫产术后并发大量腹水临床分析及预防措施

A report and preventive measure of pregnancy induced hypertension complicated with mass ascites after cesarean section.

目的探讨妊高征剖宫产术后并发大量腹水临床特点及预防。方法回顾分析5例妊高征剖宫产术后大量腹水(腹水组)和21例妊高征剖宫术后无腹水病例(对照组)。结果腹水组总蛋白、白蛋白、血色素水平明显低于对照组(P<0.05)术前腹水明显多于对照组(P<0.01)。术后白细胞及中性粒细胞明显高于对照组(P<0.05)。结论妊高征剖宫产术后大量腹水与患者术前病情(术前大量腹水、低蛋白血症、贫血)、潜在感染及术中清除大量腹水加重低蛋白血症有关。因此,补充白蛋白、控制感染、孕期纠正贫血十分重要。

Objective： To investigate clinical feature and prevent pregnancy induced hypertension complicated with mass ascites after cesarean section. Methods ： Clinical data of 5 cases with pregnancy induced hypertension complicated with mass ascites after cesarean section （group of ascites） , and 2l cases no ascites after cearean section （control group）. Results： Total serum protein, albumin, haemoglobin level-in group of ascites were less than of in control group （ P 〈 0. 05 ）. Ascites before cesarean section and neufrophil proportion in groups of ascites were high than of that in control group （ P 〈 0. 01, P 〈 0.05 ）, Conclusion： Mass ascites after cesarean section has relation to patient situation before cesarean section （ mass ascites before cesarean section, hypoproteinemia, anemia）, potential infection, clean out mass ascites aggravate hypoproteinemia during operation, Therefore, It is important preventive measures , to supplement albumin and prevent infection and correct anemia during pregnancy.