重度子痫前期合并大量胸腔积液12例临床分析  

Pre-eclampsia complicating with severe hydrothorax:12 cases report

作　　者：赵芳[1] 孟续民[1] 李少芬[1] 郑蓉[1] 孟燕 

机构地区：[1]北京积水潭医院妇产科,100035

出　　处：《中国妇产科临床杂志》2009年第4期252-254,共3页Chinese Journal of Clinical Obstetrics and Gynecology

摘　　要：目的探讨重度子痫前期合并大量胸腔积液患者的临床特点及母儿预后。方法回顾性分析比较重度子痫前期合并大量胸腔积液患者12例(胸腔积液组)及未合并胸腔积液患者69例(非胸腔积液组)的临床特点、发病情况、诊治情况、孕妇严重并发症及围生儿结局。结果两组年龄、孕次、分娩孕周、住院天数、入院后最高收缩压和舒张压比较差异无统计学意义(P>0.05),胸腔积液组血浆白蛋白明显低于非胸腔积液组,24h尿蛋白定量以及子痫、心力衰竭发生率、围产儿死亡率明显高于对照组。结论合并大量胸腔积液是重度子痫前期的少见、严重并发症,易出现子痫、心力衰竭,增加围产儿死亡。出现大量胸腔积液应及时终止妊娠。终止妊娠后胸腔积液在2周内自然消失,不必特殊治疗。Objective To investigate the clinical features and prognosis of pre- eclampsia complicating with severe hydrothorax. Methods 12 cases of pre- eclampsia complicating with severe hydrothorax （HT group） and 69 pre- eclampsia patients without thorax effusion （control group） were analyzed retrospectively, clinical features, gestational age at delivery, severe maternal complication and perinatal infants outcome were enrolled. Results There were no significant differences in age, gravidity, gestational weeks, hospital days and blood pressure between the two groups. But compared with the control group, the plasma- albumin in HT group was significantly lower, and proteinuria of 24 hours, morbidity of eclampsia, heart failure and perinatal mortality rate were significantly higher in HT group with effusion, Conclusions Massive thorax effusion is a rare and severe complication of pre - ecalmpsia. It is associated with eclampsia, heart failure, perinatal mortality rate. Termination of pregnancy should be on time when complicating with severe thorax effusion. After delivery, the effusion may disappear spontaneously in two weeks without any treatment.

关 键 词：妊娠高血压疾病 子痫 胸腔积液 

分 类 号：R714.2[医药卫生—妇产科学] R561[医药卫生—临床医学]