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目的:分析子的临床特点、分娩时机的选择及对母儿的影响,进一步提高临床对该疾病的认识和处理能力。方法:回顾性分析1998年1月至2006年6月本院24例子的临床资料。结果:子发生率2.5‰,以产前子为主,占75%,其中未作系统的产前检查者占88%。子患者围生儿结局与抽搐次数无关(P>0.05),但与发病至终止妊娠的孕周有关,孕34周前发病者新生儿重度窒息、围生儿死亡率显著增加(P<0.01)。子早产发生率58.3%、围生儿死亡率25%。抽搐控制后越早终止妊娠,新生儿重度窒息发生率越小,抽搐控制12小时后终止妊娠,围生儿死亡率增加(P<0.05)。结论:子易致围生儿预后不良;子抽搐控制后及时终止妊娠,可有效降低新生儿重度窒息及围生儿死亡率。
Objective: To analyze the clinical features of children, the timing of childbirth and the impact on mothers and children to further improve the clinical awareness of the disease and handling capacity. Methods: The clinical data of 24 cases of myeloma in our hospital from January 1998 to June 2006 were retrospectively analyzed. Results: The incidence of child 2.5 ‰, mainly prenatal child , accounting for 75%, of which 88% were not systematic prenatal care. There was no correlation between perinatal outcome and number of convulsions (P> 0.05), but it was related to gestational age from onset to termination of pregnancy. Severe asphyxia and perinatal mortality were significantly increased ). Child premature birth rate of 58.3%, perinatal mortality rate of 25%. The earlier termination of pregnancy after convulsion control, the less the incidence of severe neonatal asphyxia, the termination of pregnancy 12 hours after convulsion control, and an increase in perinatal mortality (P <0.05). Conclusion: The infants with benign prostatic hyperplasia have a poor prognosis and the timely termination of pregnancy after the control of infantile convulsions can effectively reduce neonatal severe asphyxia and perinatal mortality.