子痫前期终止妊娠的时机和方式

Timing of pregnancy termination and mode of delivery for patients with preeclampsia

子痫前期严重威胁母儿健康和安全,特别是伴有母体器官功能受累或胎盘-胎儿并发症者。子痫前期的病理生理机制复杂,病程发展迅速,早期识别困难,适时终止妊娠是避免不良妊娠结局的重要措施。选择分娩方式时,应充分考虑母胎状况、胎先露、孕周、宫颈成熟度和产房条件。

Pre-eclampsia threatens maternal and fetal health and safety,especially when maternal organ dysfunction and placental-fetal problems arise.Management of preeclampsia is challenging due to its complex pathophysiological mechanisms,rapidly progressing course,and difficulty of early recognition.Timing of pregnancy termination is critical in preventing adverse outcomes.Mode of delivery should be based on maternal-fetal condition,gestational weeks,fetal presentation,cervical status,and hospital resources.