子痫116例的临床分析

Clinical analysis of 116 cases of eclampsia

目的 探讨子痫病人母儿结局、终止妊娠时机及方式 ;如何降低孕产妇子痫发生率。方法 回顾分析 1990年 1月至 2 0 0 3年 8月间收治 116例子痫的临床资料。结果 无孕产妇死亡 ,剖宫产率 65%。孕期未作产前检查 65例 (56 0 % ) ,不定期产前检查 3 7例 (3 1 9% )。新生儿窒息率 3 0 1% ,围生儿死亡率12 9%。结论 剖宫产为子痫病人缩短终止妊娠时间最好办法 ,控制抽搐后即可行剖宫产 ,手术不必受时间限制。重视产前检查 ,提高产前检查质量 ,及时治疗妊高征 ,加强孕产妇系统管理尤其是三级妇幼保健网 。

Objective To explore the fina l results of eclampsia women and their babies,the opportunity and ways of stopping pregnance and the method to reduce women's eclampsia incidence.Methods The clinical materials of 116 cases of eclampsia from January of 1990 to October of 2003 were analysed retrospectively.Results There was not pregnant and puerperant women died.The rate of ceasarean section was 65% .During pregnancy,65 cases(56.0%) did not undergo antenatal examination,and 37% cases(31.9%) accepeted irregularly antenatal examination.The suffocating rate of neonate was 30.1% and death rate was 12.9%.Conclusion The cesa rean section for eclampsia patients may shorten the pregnant time.As soon as con vulsion being controlled,the cesarean section may perform without the limitation of time.Strengthening the antenatal examination for pregnant and parturient wom en,especially health care network of women and children are the important measur ements to lower the incidence of eclampsia.