早发型重度子痫前期43例临床分析

Clinical analysis of 43 early on set severe preeclampsia

目的:探讨早发型重度子痫前期的治疗及母儿结局。方法:对43例早发型重度子痫前期的患者,根据病情需要进行一般治疗、期待治疗和终止妊娠。分析不同治疗方法的母儿预后。结果:孕周>32周的新生儿和围生儿病死率明显低于32周前终止妊娠者(P<0.01)。结论:孕周已近34周的早发型重度子痫前期患者,经促胎肺成熟治疗后即可终止妊娠。而孕32周之前的早发型重度子痫前期患者,在严密监测下尽量延长孕周以增加胎儿的成熟度并不增加母亲的并发症。

Objective：To investigate the early onset of severe preeclampsia and maternal child treatment outcome.Methods：Forty-three patients with early onset severe preeclampsia patients were generally treated according to the condition of patients,looking forward to treatment and termination of pregnancy.Analysis of different treatment regimens mother child outcomes.Results：The gestational age 32 weeks of neonatal and perinatal mortality of children was obviously lower than 32 weeks before the termination of pregnancy（P0.01）.Conclusions：Nearly 34 weeks gestation and early onset severe preeclampsia,pregnancy can be terminated by promoting the maturity of fetal lung.32 weeks of pregnancy before the early onset severe preeclampsia,mother＇s complications was not increasing with prolonged gestational ages under strict monitor.