49例早发型重度子痫前期临床分析  

Clinical study of 49 cases with early onset severe pre-eclampsia

作　　者：富晓敏[1] 张延丽[2] 朱壮彦[1] 畅学艳[1] 

机构地区：[1]山西大同大学医学院 [2]山西医科大学第一临床医学院妇产科

出　　处：《中国妇幼保健》2010年第14期1916-1918,共3页Maternal and Child Health Care of China

摘　　要：目的:探讨早发型重度子痫前期的临床特点及治疗措施。方法:对山西医科大学第一临床医学院妇产科2005年1月～2008年12月收治的213例重度子痫前期患者(其中早发型49例,即24～34孕周发病者;晚发型164例,即≥34孕周发病者)及其228例新生儿进行回顾性分析,观察指标包括一般情况、并发症、合并症及母婴结局。结果:早发型重度子痫前期患者分娩孕周较晚发型早(P<0.01)、治疗时间较晚发型长(P<0.05),其临床症状及并发症/合并症较晚发型严重,母婴结局明显较晚发型差。结论:早发型重度子痫前期病情严重,围生儿预后不佳,应根据母胎情况,严格选择病例进行保守治疗,同时密切监测母胎病情变化。Objective：To investigate the clinical features and treatment of the early onset severe preeclampsia.Methods：213 cases of patients with severe pre-eclampsia （including 49 cases of early-onset and 164 cases of late-onset ） of the First Clinical Hospital of Shanxi Medical University and their newborns were analyzed retrospectively from 2005 to 2008. The observation indicators included the general situation,complications,maternal and child outcome.Results：The Gestational age of delivery of early onset severe pre-eclampsia patients was earlier than the late-onset severe pre-eclampsia patients （P0.01）; treatment time of the former was longer than the of the latter（P0.05）.The Clinical symptoms of the former was more serious than that of the latter. The maternal and child outcome of the former was worse than that of the latter.Conclusion：Early onset severe pre-eclampsia is a serious illness,the prognos of perinatal is not good.So we should strictly select cases for conservative treatment,and closely monitor changes in maternal-fetal condition according to maternal-fetal condition.

关 键 词：妊娠并发症 子痫前期 母婴结局 

分 类 号：R714.245[医药卫生—妇产科学]