重度子痫前期远期预后随访

A follow up investigation of long-term prognosis of women who suffered from preeclampsia

目的了解重度子痫前期患者母儿的远期预后。方法回顾性随访分析5年前于首都医科大学附属北京朝阳医院住院分娩的重度子痫前期患者40例,随访母儿结局。结果 1围产儿病死率高达31.8%,存活胎儿生长发育及智力正常。发病孕周越早,围产儿病死率越高。23例产妇产褥期后死亡。9例血压增高需长期降压治疗。3再次妊娠时再次发病率高,但病情减轻。结论健全孕产妇保健网络,不适宜妊娠者避免怀孕或尽早终止妊娠。如已发生重度子痫前期,应以产妇安危为重,尽快终止妊娠,期待治疗者需严格选择病例。产后应严密管理,以防心脑血管意外的发生。可期待下一次妊娠。

Objective To know about long-term prognosis of the babies and the women who suffered from preeclampsia before.Methods A total of 40 patients with preeclampsia who subject to inpatient delivery in our hospital 5 years before were reviewed retrospectively,the long term of maternal and fetal outcomes was followed up. Results 1 Perinatal infant dead rate was as high as31. 8%. Live fetus have normal growth and development,aslo have normal intelligence. The earlier the disease attacked,the higher perinatal infants dead rate was. 2 Three mother dead after puerperium. Nine people left chronic hypertension should be long-term antihypertensive therapy. 3 There was a high recurrent risk in subsequent pregnancy,but illness severity reduced. Conclusion To improve maternal health care network,pregnancy should be banned or induced earlier in those women who are suffering from so serious illness that is not suitable for pregnancy. Those who have already suffered from severe preeclampsia,should terminate pregnancy as soon as possible in order to keep mother safe. Expectant treatment cases must be strictly selected. Management should be stricted after delivery,in order to prevent the occurrence of heart cerebrovascular accident. The next pregnancy should be expected.