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目的探讨早发型重度子癎前期的临床特点及治疗。方法对温州医学院附属第一医院妇产科2002-01-2004-12收治的179例重度子癎前期患者(其中早发型43例,即24~34孕周发病者;晚发型136例,即≥34孕周发病者)及其新生儿210例进行回顾性分析,观察指标包括一般情况、并发症/合并症及母婴结局。结果早发型重度子癎前期患者分娩孕周较晚发型早(P<0·01)、治疗时间较晚发型长(P<0·05),其临床症状及并发症/合并症较晚发型严重,母婴结局明显较晚发型差。结论早发型重度子癎前期病情严重,围生儿预后不佳,应根据母胎情况,严格选择病例进行保守治疗,同时密切监测母胎病情变化。
Objective To investigate the clinical features and treatment of early-onset severe molars. Methods A total of 179 patients with severe preeclampsia (including 43 cases of early onset, or 24 ~ 34 gestational weeks) were admitted to the First Affiliated Hospital of Wenzhou Medical College from January 2002 to December 2004. 136 cases were late-onset ≥34 gestational age onset) and its neonatal 210 cases were retrospectively analyzed, the observation indicators include the general situation, complications / complications and maternal and infant outcomes. Results The patients with early-onset severe preeclampsia presented with gestational age at the earliest gestational weeks of gestation (P <0.01), the longer treatment time was longer (P <0.05), and the clinical symptoms and complications / complications were more severe Maternal and infant outcomes were significantly delayed hair type. Conclusions Premature onset severe preeclampsia has a serious prediabetes and poor prognosis in perinatal fetus. Patients should be treated conservatively in strict selection according to the mother’s fetus. At the same time, the changes of the mother’s fetus should be closely monitored.