早发型重度子痫前期分娩时机与方式的临床分析

Clinical analysis of therapy of patients delivery in premature severe preeclampsia

目的:分析早发型重度子痫前期的患病率、临床特征、治疗原则、终止妊娠的时机方式及妊娠结局。方法:选择2005年11月～2007年6月孕周为24～34周重度子痫前期孕妇44例,对其治疗经过和妊娠结局进行分析总结。结果:早发型重度子痫前期的患病率1.2%,平均治疗时限为(8.6±5.2)d,合并症并发症的发生率高达95%,当发生危及母儿的严重的并发症时应及时终止妊娠,方式以剖宫产为宜。结论:早发型重度子痫前期可以在终止妊娠前有短期的期待治疗,给予积极治疗能明显改善妊娠结局。

Objective：To analyze the incident rate of premature severe preeclampsia,clinical character,principle of treatment,time and method to end the pregnancy and result of the pregnancy.Methods：From November, 2005 to June , 2007 , forty four patients pregnancing between 24-34 weeks with severe preeclampsia were enrolled.Their method of treatment and results were analyzed.Results：The incidence of premature severe preeclampsia was 1.2%.The average time of treatment was 8.6±5.2 days.The incidences of complications was 95%.The pregnancies should be ended on time when severe complications happened and threatened the maternal and fetal lives.Conclusion：Short term expecting treatment can be given to the premature severe preeclampsia patients before the pregnance ended.Active treatment can obviously improve the results.