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妊高征的基本病变是全身小动脉痉挛，对主要脏器心、肺、肾、脑、肝及胎盘在不同程度的影响。严重的并发症是孕产妇及围产儿死亡的重要原因之一。低血浆蛋白并发腹水也是妊高征并发症之一，临床上虽无脑水肿、肺水肿的垂危表现。但经多方治疗难以逆转，须终止妊娠才能缓解病情。本文介绍４例重度妊高征低血浆蛋白腹水病人，经解痉扩容利尿及补充血浆蛋白治疗效果不佳，病情反而加重，最后终止妊娠后病情得以好转。因此妊高征病人出现低血浆蛋白腹水应作为终止妊娠的指征之一。
PIH basic lesion is systemic arteriolar spasm, the main organs of heart, lung, kidney, brain, liver and placenta in varying degrees of influence. Serious complications are one of the important causes of maternal and perinatal deaths. Low plasma protein concurrent ascites is one of the complications of pregnancy-induced hypertension, clinically, although no cerebral edema, dying of the performance of pulmonary edema. However, after multi-treatment is difficult to reverse the termination of pregnancy to be able to alleviate the condition. This article describes four cases of severe PIH low plasma protein ascites patients, the antispasmodic expansion of diuretic and plasma protein therapy ineffective, but the condition worsened, and finally the condition after termination of pregnancy can be improved. Therefore, PIH patients with low plasma protein ascites should be used as an indication of termination of pregnancy.