晚期妊娠分娩前休克36例情况分析

Effect of treatment for antepartum shock on perinatal outcomes in third trimester pregnancy

目的探讨晚期妊娠分娩前发生休克的孕妇在积极治疗后对围生期结局的影响。方法回顾性分析2008年1月至2011年3月间在我院产科分娩的36例妊娠分娩前发生休克的患者的临床资料。结果孕妇休克以失血性休克为主，有31例（86．1％）；终止妊娠的方式中实行剖宫产的有29例（80．6％），经阴道分娩的有7例（19．4％）。娩出39个新生儿，死亡3例。产妇行子宫切除术2例，无死亡病例。结论晚期妊娠分娩前发生休克时通过及时的诊断、积极地抗休克治疗并适时终止妊娠，可取得良好的围生期结局。

ObJective To investigate the effect of treatment for antepartum shock on perinatal outcomes in third trimester pregnancy. Methods The clinical data on 36 women who had occurred shock before delivery in their third trimester during the period of January 2008 to March 2011 were anatyzed retrospectively. Results 31 of the 36 women （ 86.1% ）developed hemorrhagic shock. 29 （ S0.6% ）had to undergo Cesarean section to terminate pregnancw, while 7 （ 19.4% ） were vaginal delivery. There were 39 newborns and 3 death. 2 women had to receive hysterectomy. Conclusions Prompt diagnosis, aggressive anti-shock therapy, and timely termination of pregnancy can achieve a better perinatal outcome in women with antepartum shock in third trimester pregnancy.