妊娠抗磷脂综合征的治疗与围产儿预后(附28例临床分析)

Treatments of Pregnancy with Anti-phospholipid Syndrome and the Outcome of Fetus (Clinical Analysis of 28 Cases)

妊娠合并抗磷脂综合征患者,其反复流产、胎儿发育迟缓、死胎、早产、早期严重妊高征及产后血栓性病变的发生机率明显增多。自1992年1月至1996年3月,我们对28例患者采用中西药治疗。结果:28例新生儿全部存活,治疗有效率100%。其中足月儿21例,早产儿7例。足月分娩者在孕前均接受系统治疗。结论:本病的早期诊断、早期治疗是提高围产儿预后的关键。

Background and Methods:The incidences of repeated abortions,fetal growth retardation, stillbirth, prematurity, severe early pregnancy-induced hypertension and thrombosis disease after delivery were increasing in pregnancy with anti-phospho-lipid syndrome. Twenty-eight patients were treated with Chinese and Western medicine from January 1992 to March 1996. Results: All 28 infants survived and the effectiveness rate of treatment was 100% . Among them,21 cases were term infants and 7 cases were prematures. Systemic treatment was given to term lying-in women before pregnancy. Conclusion: Early di-agnosis and early treatment for the patients are the key of improving the outcome of fetus.