重度子痫前期并发肺水肿的临床特点及母婴预后

Clinical characteristics of severe preeclampsia combined with pulmonary edema and outcomes of mothers and infants

目的：分析重度子痫前期并发肺水肿的临床特点及母婴预后。方法：将该院2004年1月-2005年8月间161例重度子痫前期,分为并发肺水肿组（肺水肿组,31例）和未并发肺水肿组（非肺水肿组,130例）,比较其临床特点和母婴预后。结果：两组间比较,终止妊娠的时间、宫内死胎发生率、早产发生率、新生儿窒息率、新生儿5 min Apgar评分〈7分、围产儿死亡率、新生儿出生体重差异有统计学意义（P〈0.05）。入院时患者的呼吸、心率、谷草转氨酶、乳酸脱氢酶及孕产妇并发症的发生率差异有统计学意义（P〈0.05）。结论：重度子痫前期并发肺水肿明显影响母婴预后导致不良结局。

Objective：To analyze the clinical characteristics of severe preeclampsia combined with pulmonary edema and outcomes of mothers and infants.Methods：161 cases with severe preeclampsia diagnosed in the hospital from January 2004 to August 2005 were divided into severe preeclampsia combined with pulmonary edema group（pulmonary edema group,31 cases） and severe preeclampsia not combined with pulmonary edema group（non-pulmonary edema group,130 cases）;the clinical characteristics and outcomes of mothers and infants in the two groups were compared.Results：There was significant difference in termination time of pregnancy,incidences of intrauterine fetal death,premature delivery and neonatal asphyxia,the proportion of 5 minutes Apgar score 7 of neonates,perinatal mortality rate and birth weight of neonates between the two groups（P0.05）;there was significant difference in respiration rate,heart rate,glutamic-oxalacetic transaminase and lactic dehydrogenase levels,incidences of complications of pregnant women on admission between the two groups（P0.05）.Conclusion：Severe preeclampsia combined with pulmonary edema affects outcomes of mothers and infants,which may induce adverse outcomes.