重度妊高征及其并发症68例临床分析

Treatment of severe pregnancy and its complication

目的 :探讨重度妊高征及其并发症终止妊娠的时机和方式。方法 :对 68例重度妊高征病例进行回顾性分析。结果 :母亲全部存活 ;剖宫产率 80 .9% ;新生儿窒息率 2 4.0 % ,围产儿死亡率 12 .0 % ;妊娠 3 4～ 3 6+ 6 w组虽然低出生体重 (L BW)发生率较高 ,但围产儿预后良好。结论 :适时终止妊娠是治疗重度妊高征及其并发症最有效的措施 ;如病情严重 ,可将终止妊娠的时间提前至 3 4～ 3 6w;

Objective: to study the time and method of pregnancy termination in severe pregn ancy induced hypertension and its complication. Method: six-eighty pregnant wome n suffered from severe pregnancy induced hypertension were enrolled for study. R esults: the cesarean section rate was 81%. Neonatal asphyxia rate was 24%. The p erinatal mortality rate was 13%. There was no maternal death. Though the rates o f LBW of pregnancy for 34-36+6 weeks were high, the prognoses of perinatal babie s were favorable. Conclusions: in severe pregnancy induced hypertension should b e terminated in time, pregnancy terminated is one of the most crucial treatment methods. If the pregnancy induced hypertension is severe and the treatment resul t is not good, it is practicable to put forward the pregnancy termination to 34- 36 weeks. Cesarean section is the best choice.