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目的探讨子痫发病前特征,防治措施及终止妊娠时机,进一步提高对该病的认识和处理能力,减少母婴并发症的发生。方法回顾性分析了我院2005年10月至2009年10月五年间收治的30例子痫患者的临床资料。结果大部分子痫患者未常规产检且发病前多数有自觉症状,血压<160/110mmHg或正常者占86.7%。采用以硫酸镁为首的综合治疗方案,适时终止妊娠,全部孕产妇均治愈出院。新生儿除1例重度窒息死亡外,余全部存活。结论对有自觉症状的血压正常或轻度升高的孕产妇要警惕子痫的发生。只有加强监测、综合治疗、适时终止妊娠才能减少子痫发生及围生儿病死率。
Objective To explore the characteristics of preeclampsia, prevention and treatment measures and the timing of termination of pregnancy, to further improve the understanding of the disease and the ability to reduce the incidence of maternal and child complications. Methods The clinical data of 30 patients with eclampsia treated in our hospital from October 2005 to October 2009 were retrospectively analyzed. Results Most of the patients with eclampsia were unconventional and most had symptoms before onset. Blood pressure <160 / 110mmHg or normal accounted for 86.7%. Magnesium sulfate led by a comprehensive treatment program, timely termination of pregnancy, all pregnant women were cured. In addition to a newborn infants died of severe asphyxia, all survived. Conclusions There should be vigilance on the occurrence of eclampsia in pregnant women with normal blood pressure or mildly elevated symptoms. Only to strengthen monitoring, comprehensive treatment, timely termination of pregnancy in order to reduce eclampsia and perinatal mortality.