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目的探讨早发型重度子痫前期的临床特点及治疗。方法对梅里斯区中医院和建华区医院妇产科2004-01-2008-12收治的179例重度子痫前期患者(其中早发型42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。结果早发型重度子痫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。结论早发型重度子痫前期病情严重,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,同时密切检测母胎病情变化。
Objective To investigate the clinical features and treatment of early-onset severe preeclampsia. Methods A total of 179 patients with severe preeclampsia (including 42 cases of early onset type, or 24 to 34 weeks of gestational age), and 136 cases of late onset type , That is, the incidence of more than 34 gestational weeks) and its neonate 210 cases were retrospectively analyzed, the observation indicators include the general situation, complications / complications and maternal and infant outcomes. Results Early onset severe preeclampsia gestational age gestational weeks late hair early (P <0.01), the treatment of late hair longer (P <0.05), the clinical symptoms and complications / complications more late-onset severe maternal and infant outcomes Obvious late hair type difference. Conclusions Premature onset severe preeclampsia is serious and the prognosis of perinatal unhealthy is poor. Patients should be treated conservatively according to the condition of the mother fetus and the cases should be closely monitored.