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目的:对高海拔地区妊娠高血压疾病并发脑出血诊治有效方法进行探讨研究,达到缩减不良反应,缩减产妇、围产儿死亡率的目的。方法:随机选取2013月1月~2015年4月期间我院接收诊治的36例妊娠高血压疾病并发脑出血产妇,对其临床数据展开回顾性处理。结果:36例孕产妇,治愈产妇10例(27.8%),良好产妇6例(16.7%),中残产妇15例(41.7%),死亡产妇5例(13.9%);36例围产儿,体重在2.0~2.3kg范围的围产儿10例(27.8%),2.4~2.6kg围产儿10例(27.8%),2.7~2.9kg围产儿16例(44.4%);围产儿存活31例(86.1%),死亡5例(13.9%)。结论:针对高海拔地区妊娠高血压疾病并发脑出血产妇,产科临床应当强化妊娠期健康教育、母婴监护,并开展好妊娠高血压防治工作,做到早期诊断、及时治疗,达到有效缩减妊娠高血压疾病并发脑出血发生率、提升围产儿存活率的目的。
OBJECTIVE: To study the effective methods of diagnosis and treatment of pregnancy-induced hypertension complicating cerebral hemorrhage in high altitude areas, and to reduce the adverse reactions and reduce the maternal and perinatal mortality. Methods: Thirty-six cases of pregnancy-induced hypertension complicated with cerebral hemorrhage were randomly selected in our hospital from January 2013 to April 2015. The clinical data were retrospectively reviewed. Results: Among 36 pregnant women, 10 were cured (27.8%), 6 were good (16.7%), 15 were midwife (41.7%) and 5 were fatal (13.9%). Thirty- 10 cases (27.8%) were in the range of 2.0 ~ 2.3kg, 10 cases (27.8%) were 2.4 ~ 2.6kg perinatal and 16 cases (44.4%) were in the range of 2.7 ~ 2.9kg perinatal; the perinatal survival was in 31 cases (86.1% ), 5 died (13.9%). Conclusions: In view of the high blood pressure pregnancy complicating with intracerebral hemorrhage in high altitude area, obstetric clinical should strengthen pregnancy health education, maternal and child care, and carry out prevention and treatment of pregnancy-induced hypertension so that early diagnosis and timely treatment can effectively reduce the high pregnancy Blood pressure disease complicated with cerebral hemorrhage incidence, improve the purpose of perinatal survival.