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妊娠高血压综合征(妊高征)是产科领域多发病,本病母婴死亡率及并发症虽逐年下降,但仍严重威胁着母婴健康。因而适时终止妊娠是降低母婴死亡率及并发症的关键。本文就选择何种方式、何时终止妊娠及其指征探讨如下.一、终止妊娠的时机恰当地选择终止妊娠的时机,密切观察母婴情况。应根据胎龄大小、病情的严重程度、治疗反应及各种监护指标(胎盘功能、胎儿成熟度)全面权衡患者各方面的情况,才能作出比较恰当的决定。终止妊娠指征:①重症患者经48～72小时积极治疗,病情不能有效控制,孕龄≥36周者。②对子痫患者孕龄≥36周,控制抽(?)后24小时内。③对先兆子痫、子痫患者治疗24～
Pregnancy-induced hypertension (PIH) is frequently seen in the obstetrics field. Although maternal and infant mortality rates and complications are declining year by year, it still poses a serious threat to the health of mothers and children. Therefore timely termination of pregnancy is the key to reduce maternal and infant mortality and complications. This article on the choice of what way, when to terminate the pregnancy and its indications discussed below .One, the timing of termination of pregnancy Proper choice of timing of termination of pregnancy, close observation of maternal and child conditions. Should be based on gestational age, the severity of the disease, the response to treatment and various monitoring indicators (placental function, fetal maturity) a comprehensive trade-off of the patient’s situation in order to make more appropriate decisions. Terminate pregnancy indications: ① critically ill patients by 48 to 72 hours of active treatment, the condition can not be effectively controlled, gestational age ≥ 36 weeks. ② gestational age of patients with eclampsia ≥ 36 weeks, controlled pumping (?) Within 24 hours after. ③ pre-eclampsia, eclampsia patients treated 24 ~