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目的:探讨系统性红斑狼疮(SLE)合并子痫前期的围产结局。方法:分析2000年1月~2008年6月5例诊断为SLE合并子痫前期产妇的围产结局及特点。结果:5例产妇均预后良好,1例发生产后出血,1例因胎死宫内自产;4例剖宫产中,3例早产,2例新生儿评分10分,1例新生儿重度窒息,1例新生儿轻度窒息。结论:SLE合并子痫前期对母儿危害大,应积极诊治,争取良好围产结局。
Objective: To investigate the perinatal outcome of systemic lupus erythematosus (SLE) with preeclampsia. Methods: From January 2000 to June 2008, 5 cases of perinatal outcome and characteristics of 5 pregnant women diagnosed as SLE with preeclampsia were analyzed. Results: All 5 maternal women had a good prognosis, 1 had postpartum hemorrhage, 1 had intrauterine self-produced due to fetal death, 3 had cesarean section, 3 had premature birth, 2 had newborn score of 10 and 1 had severe asphyxia , 1 case of mild neonatal asphyxia. Conclusion: SLE combined with preeclampsia harm to the mother and child should be actively diagnosed and strive for a good perinatal outcome.