41例子痫的临床分析

A retrospective clinical analysis of eclampsia in 41 cases

目的为了探讨降低子痫发生率的方法，减少并发症的发生，降低孕产妇及围产儿的死亡率。方法对我院1978年1月-2007年12月间收治的41例子痫患者的临床资料进行回顾性的分析。结果孕产妇死亡1例，病死率2．4％，围产儿死亡7例，病死率为16．3％。结论加强孕期保健，及时诊断规范治疗妊娠期高血压疾病，适时终止妊娠，注意产后护理，可以有效的降低子痫的发生率，降低孕产妇及围产儿的死亡率。

Objective To investigate the methods of reducing the incidence of eclampsia and the managements of serious complications induced by eclampsia. Methods A retrospective review was carried out on 41 eclampsia women admitted in our hospital from Jan 1980 to Dec 2007. Results Among them 1 case of maternal death, the mortality was 2.4% ;7 cases of perinatal death, the mortality was 16.3 %. Conclusion The results indicated that intensive routine prenatal care, diagnosis and treatment of PIH in time , and paying more attention on postpartum management could all effective reduce the incidence of eclampsia and perinafetus death rate.