22例产前子痫患者临床分析

Clinical Analysis of 22 Patients With Prenatal Eclampsia

目的分析产前子痫患者的发病特点,探讨降低产前子痫的方法及加强产前检查的重要性。方法回顾性分析2013年9月~2015年6月我院收治的22例因发生子痫急诊入院的患者。结果 22例中有1例从未行围产期保健检查,13例行围产期保健检查但不正规,8例均行正规围保检查（孕28周前每4周1次,28~36周每2周1次,36周后每周1次）。22例患者入院后经积极治疗,子痫控制后2 h均剖宫产终止妊娠。结论妊娠期高血压疾病对母婴健康危害极大.一部分患者病情进展快,易漏筛,加强产前检查、对降低产前子痫发病率、改善母儿预后起重要作用。

Objective To analyze morbidity characteristics of patients with Prenatal eclampsia,explore the methods of reducing prenatal eclampsia during pregnancy,and emphasize the importance of prenatal examination. Methods A retrospective study was performed in 22 patients with prenatal eclampsia who were admitted in our hospital during September 2013 and June 2015. Results 1 of 22 patients did not receive perinatal health check,13 of 22 patients received irregular perinatal health check,8 of 22 patients received irregular perinatal health check（every 4 weeks for the first 28 weeks during pregnancy,every 2 weeks between 28 to 36 weeks during pregnancy,then once a week after 36 weeks）. All 22 patients were received active treatments after admission,ceased pregnancy with cesarean section operation 2 hours after controlling prenatal eclampsia. Conclusion Hypertensive disorder complicating pregnancy influence the health of maternal-child. Prenatal eclampsia is easy to be overlooked or misdiagnosed,especially in patients who faced disease rapid progression. We suggest that we should strengthen the prenatal examination and early diagnosis and treatment,which is important to reduce incidence of prenatal eclampsia and improve prognosis of maternity and fetus.