86例早发型重度子痫前期诊断和治疗

86 cases of early onset severe preeclampsia look forward to the diagnosis and treatment

目的探讨早发型重度子痫前期期待治疗和终止妊娠时机选择对母儿结局的影响。方法对86例早发型重度子痫前期病例进行回顾性分析。按终止妊娠的孕周分3组,比较母儿结局和终止妊娠的方式。结果随期待治疗时间的延长,新生儿窒息率和死亡率明显下降(P<0.01),而孕妇并发症未见明显增加。结论对早发型重度子痫前期,期待治疗和终止妊娠是最大限度地降低孕产妇和围产儿病死率的重要方法。

Objective To explore the early onset severe preeclampsia and look forward to the treatment of termination of pregnancy on the timing of maternal and fetal outcomes. Methods 86 cases of early onset of severe pre-eclampsia cases were reviewed. Termination of pregnancy by gestational age were divided into three groups, compared with maternal and fetal outcomes and the manner of termination of pregnancy. Results With time of looking forward to the extension of the treatment, neonatal asphyxia and mortality rates decreased （ P 〈 0.01 ）, and no significant complications in pregnant women increased. Conclusion For the early onset of severe pre-eclampsia, how to look forward to treatment, when termination of pregnancy in order to minimize maternal and perinatal mortality rate for a discussion.