重度子痫前期-子痫50例临床分析

Clinical Analysis of Severe Preeclampsia-eclampsia for 50 Cases

目的:总结妊娠期高血压疾病的重度子痫前期-子痫诊治经过.方法:对2005-2010年50例重度子痫前期-子痫临床资料进行回顾性分析.结果:重度子痫前期-子痫占同期入院孕妇的3.8%,终止妊娠剖宫产45例,会阴侧切助产5例,1例孕产妇因多系统器官衰竭(MSOF)死亡,围生儿宫内和产后死亡共11例.结论:镇静、解痉、降压、合理扩容利尿、适时终止妊娠,预防并发症,减少孕产妇及围生儿死亡率.

Objectlve：To summary the diagnosis and treatment process of severe preeclampsia-eclampsia（SPE-E） among hypertensive disorder complicating pregnancy.Methods：The clinical data of SPE-E from 2005～2010 were retrospectively analyzed.Results：The SPE-E accounted for 3.8%of pregnant women who hospitalized in the same period,45 cases were stopped pregnancy by cesarean section;5 cases underwent lateral episiotomy to help delivery,and 1 case died because of multiple system organ failure（MSOF）,totally 11 perinatal infants died in uterus and after delivery.Conclusion：In order to prevent the complication and to reduce the death rate both pregnant and perinatal infants,the methods should be actively taken such as sedation,spasmolysis, decompression,proper dilation of blood volume,diuresis,and even timely termination pregnancy,etc.