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对6年来收治的124例先兆子痫,进行剖宫产时机选择分析。其中部宫产103例,先兆子痫剖宫产率83.06％,孕周<37周者剖宫产率94.44％(34/36)。结果:母亲全部存活。孕34～36周~(+6)者围产儿预后良好,存活率93.33％。新生儿窒息率6.67％;孕周≥37周者围产儿存活率为98.59％(P>0.05),而新生儿窒息率明显升高,达28.17％(P<0.01),新生儿吸入性肺炎及羊水污染率亦明显增高。提示:妊高征时,胎肺有提前成熟倾向。孕龄超过37周后发生各种并发症的机会增多。如病情严重,孕34～36周即可考虑终止妊娠的方式首选剖宫产。
124 cases of preeclampsia admitted in 6 years, cesarean section timing analysis. Among them, 103 cases of uterine obstruction, 83.06% of preeclampsia cesarean section, and cesarean section rate of 94.44% (34/36) in gestational week <37 weeks. Results: All mothers survived. 34 to 36 weeks of pregnancy ~ (+6) were good prognosis of perinatal children, the survival rate of 93.33%. The neonatal asphyxia rate was 6.67%. Survival rate of perinatal children with gestational age ≥37 weeks was 98.59% (P> 0.05), while the asphyxia rate of newborns was significantly higher (28.17%, P <0.01). Neonatal aspiration pneumonia and Amniotic fluid pollution rates also significantly increased. Tip: pregnancy-induced hypertension, fetal lung premature mature tendency. There is an increased chance of various complications after more than 37 weeks of gestational age. If the condition is serious, pregnancy 34 to 36 weeks to consider the termination of pregnancy preferred cesarean section.