子痫28例临床分析

Clinical analysis of 28 eclampsia cases

目的探讨子痫剖宫产指征;降低子痫的发生率、围产儿死亡率及其严重并发症的处理方法。方法回顾性分析我院15年间收治子痫患者28例。结果1992年12月～2007年12月在我院产科住院诊断为子痫患者28例。从未作产前检查18例,未定期产前检查8例,定期产前检查2例。经阴道分娩8例,剖宫产19例,1例未生产、自动出院转回当地治疗。早产10例,新生儿窒息6例,围产儿死亡2例,无孕产妇死亡。结论加强孕产妇系统管理,特别在农村开展围产保健,对检查中发现的妊娠高血压疾病应及早转送上级医院进行正规治疗、及时终止妊娠,是预防子痫发生的关键;对子痫患者及时治疗、以剖宫产终止妊娠,是一种有效而安全的措施,可降低孕产妇及围产儿死亡率。

Objective To find way to low the incidence of eclampsia, low the mortality of fetus, and find the indication of caesarean section for eclampsia cases. Methods Review and analyse 28 eclampsia cases of last 15 years retrospectively. Results from December 1992 to December 2007,28 eclampsia cases were admitted into our department. Within these 28 cases, 18 cases never have prenatel examination,8 cases haven＇t received prenatal examination at regular intervals,and only 2 cases receive regular intervals prenatal examination. 8 cases were delivered per vaginam,19 cases received caesarean section, and 1 cases was transferred to other hospital.There were 10 cases preamture delivery, and 6 cases asphyxia＇neonatorum, and no cases death of lying-in woman. Conclusion it is very important to strengthen the regular prenatel exanimations, and to find the hypertension pregnancy in county area. For eclampsia cases, caesarean section is a safe way of delivery and termination of pregnancy, and can reduce the mortality of pregnant woman and fetus.