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目的观察产科围术期子痫前期急性肺水肿的临床干预效果。方法将60例重度子痫前期且行剖宫产手术的产妇随机分为观察组和对照组各30例,对照组给予常规治疗,观察组在常规治疗的基础上给予急性肺水肿的临床干预治疗,比较2组患者围术期发生急性肺水肿的发生情况。结果观察组术后24h内急性肺水肿的发生率为3.3%(1/30)明显低于对照组的23.3%(7/30),差异有统计学意义(P<0.05)。结论妊娠期高血压孕妇如发生子痫前期急性肺水肿则会严重影响产妇及胎儿的生命健康,尽早地进行临床干预治疗,可有效降低急性肺水肿的发生率,保证手术中产妇的肺功能正常,有利于剖宫产术安全进行。
Objective To observe the clinical effects of acute pulmonary edema in obstetric perioperative period. Methods Sixty pregnant women with severe preeclampsia undergoing cesarean section were randomly divided into observation group (30 cases) and control group (30 cases). The control group was given routine treatment. The observation group was treated with the clinical intervention of acute pulmonary edema on the basis of routine treatment. The incidence of acute pulmonary edema during the perioperative period was compared between the two groups. Results The incidence of acute pulmonary edema in observation group was 3.3% (1/30) within 24 hours after operation, which was significantly lower than that in control group (23.3%, 7/30). The difference was statistically significant (P <0.05). Conclusion Pregnancy-induced hypertension in pregnant women with acute preeclampsia pulmonary edema will seriously affect the lives and health of the fetus and fetus, clinical intervention as soon as possible, can effectively reduce the incidence of acute pulmonary edema, to ensure normal maternal lung function during surgery , Is conducive to the safe cesarean section.