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早发型重度子痫前期的临床研究及护理 被引量:5
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作者 罗彩萍 刘大艳 +3 位作者 王晨虹 赖桂英 高晓玲 李娴 《海南医学院学报》 CAS 2010年第5期661-663,666,共4页
目的:分析早发型重度子痫前期的临床特点,探讨其围产儿死亡的高危因素及终止妊娠的最佳时机。方法:回顾性分析320例重度子痫前期患者,并根据其发病孕周分为〈32周:126例;32-34周:75例;以及≥34周的119例。其中多胎妊娠35例。对患者... 目的:分析早发型重度子痫前期的临床特点,探讨其围产儿死亡的高危因素及终止妊娠的最佳时机。方法:回顾性分析320例重度子痫前期患者,并根据其发病孕周分为〈32周:126例;32-34周:75例;以及≥34周的119例。其中多胎妊娠35例。对患者的一般临床资料、临床观察指标进行分析,总结产妇的并发症及围产儿结局。结果:(1)在〈32周组患者既往有子痫前期病史、高血压家族史的比例均明显高于其他两组,差异有统计学意义(P〈0.001)。3组间妊娠期糖尿病检出率和剖宫产率差异无统计学意义(P〉0.05);(2)3组间子痫和HELLP综合症的比例,差异有统计学意义(P〈0.05);(3)3组间超声检查胎儿生长受限的比例和围产儿死亡率差异有统计学意义(P〈0.001)。结论:(1)根据母儿结局分析,32周之前发病的早发型重度子痫前期容易导致母儿的不良预后。(2)具有子痫前期病史的经产妇易于发生早发型重度子痫前期。需要针对高危人群,加强规律产前检查,在期待治疗过程中,对母儿进行严密的监测及护理,并给予及时的干预,可减少围产儿的死亡率。 展开更多
关键词 早发型重度子痫前期 母婴结局 护理
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Clinical characteristics of 19 neonates born to mothers with COVID-19 被引量:5
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作者 Wei Liu Jing Wang +3 位作者 Wenbin Li Zhaoxian Zhou Siying Liu Zhihui Rong 《Frontiers of Medicine》 SCIE CAS CSCD 2020年第2期193-198,共6页
The aim of this study was to investigate the clinical characteristics of neonates born to SARS-CoV-2 infected mothers and increase the current knowledge on the perinatal consequences of COVID-19.Nineteen neonates were... The aim of this study was to investigate the clinical characteristics of neonates born to SARS-CoV-2 infected mothers and increase the current knowledge on the perinatal consequences of COVID-19.Nineteen neonates were admitted to Tongji Hospital from January 31 to February 29,2020.Their mothers were clinically diagnosed or laboratory-confirmed with COVID-19.We prospectively collected and analyzed data of mothers and infants.There are 19 neonates included in the research.Among them,10 mothers were confirmed COVID-19 by positive SARS-CoV-2 RT-PCR in throat swab,and 9 mothers were clinically diagnosed with COVID-19.Delivery occurred in an isolation room and neonates were immediately separated from the mothers and isolated for at least 14 days.No fetal distress was found.Gestational age of the neonates was 38.61.5 weeks,and average birth weight was 3293425 g.SARS-CoV-2 RT-PCR in throat swab,urine,and feces of all neonates were negative.SARS-CoV-2 RT-PCR in breast milk and amniotic fluid was negative too.None of the neonates developed clinical,radiologic,hematologic,or biochemical evidence of COVID-19.No vertical transmission of SARS-CoV-2 and no perinatal complications in the third trimester were found in our study.The delivery should occur in isolation and neonates should be separated from the infected mothers and care givers. 展开更多
关键词 coronavirus disease 2019 severe acute respiratory syndrome-associated coronavirus maternal-infant infection NEWBORN
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