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目的探讨重度子痫前期并发症对母儿的影响和防治措施。方法对2004年1月-2007年12月在本院住院分娩的重度子痫前期患者394例孕产妇临床资料进行分析。结果发生严重并发症者共167例,占42.39%;早发型严重并发症明显高于晚发组,(P<0.05)。早发型第一位受累的是胎盘损害,晚发型第一位受损的是心脏,早发型围生儿死亡率明显高于晚发型(P<0.01)。结论重度子痫前期并发症临床表现复杂,后果严重,应积极的预防、监护和治疗,晚发型较早发型妊娠结局好;早发型重度子痫前期在严密的监护下积极治疗,适时终止妊娠。
Objective To investigate the impact of preeclampsia complications on maternal and child and prevention and treatment. Methods The clinical data of 394 pregnant women with severe preeclampsia hospitalized in our hospital from January 2004 to December 2007 were analyzed. Results A total of 167 cases (42.39%) had serious complications. Serious complications of early onset were significantly higher than those of late onset (P <0.05). The earliest type of early hair loss was placental damage. The first type of late hair loss was heart. The rate of perinatal mortality in early-onset was significantly higher than that in late-onset (P <0.01). Conclusion The clinical manifestations of severe preeclampsia complications are complex and the consequences are serious. It should be actively prevented, monitored and treated. The outcome of late-onset early hairstyle is good. Early preeclampsia with severe preeclampsia is under active surveillance and termination of pregnancy is timely.