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观察51例重度妊高征患者的预后。住院组(33例)发生严重并发症者明显低于转诊组(18例)。住院组中,虽有1例产后发生急性肾衰,经及时血液透析康复,无1例产母死亡,仅1例新生儿因早产、低体重死亡。转诊组中,有2例产母因伴发严重并发症死亡,4例围产儿死亡。两组新生儿体重无明显区别,围产儿结果有显著区别(P<0.05)。提示,积极治疗妊高征和预防其并发症的发生,选用硫酸镁和酚妥拉明控制血压,适当扩容,根据病情的发展适时终止妊娠,是降低母儿死亡率的关键。
The prognosis of 51 patients with severe PIH was observed. In-hospital group (33 cases) serious complications were significantly lower than the referral group (18 cases). In hospitalized group, although there was one case of acute renal failure after delivery, after hemodialysis hemodialysis, none of the mother died, only 1 case of neonatal death due to premature birth, low birth weight. Referral group, there are 2 cases of mother died of serious complications, 4 cases of perinatal death. No significant difference between the two groups of newborns weight, perinatal results were significantly different (P <0.05). Prompt, proactive treatment of PIH and prevent the occurrence of complications, the choice of magnesium sulfate and phentolamine control blood pressure, appropriate dilatation, timely termination of pregnancy according to the development of the disease is the key to reducing maternal mortality.