早发型子痫前期患者疾病132例临床分析

目的探讨早发型子痫前期疾病发展的特点。方法总结2005～2008年本单位接诊的早发型子痫前期132例孕妇的发病、疾病发展过程、围产儿结果,监测血液学、凝血功能及生化指标,对比分娩结局。结果分娩可使生化和血液学指标明显改善;现行的解痉降压治疗对保护肝肾功能效果有限,对血液高凝状态没有治疗效果,但可延长孕周,改善围产儿结局。患者发病孕周越小,病情控制越差,妊娠时间延长越短,妊娠结局越差。结论早发型子痫前期患者发病孕周与妊娠结局关系密切,孕28周前发病的患者妊娠结局难以乐观,现行治疗方案仍难以令人满意。

Objective To explore the character of evolvement with early onset pre-eclampsia.Methods To analyse the 132 cases of early onset preeclampsia patients in dynamic development, and to monitor the cruor function index, functional biochemical index, and to compare with the result of pregnancy. Results Labor can improve the result of cmor ftmction index and functional biochemical index. Traditional therapy has limited function in protection with liver and kidney, and has no use to improve cruor function.The pregnancy result is worse with smaller gestational weeks.Conclusion The pregnancy result is less optimistic in smaller gestational weeks before 28 weeks.Traditional therapy is not enough to cure early onset pre-eclampsia.