早发型重度子痫的终止妊娠干预效果观察  

Evaluation of pregnancy termination in patients with early-onset severe eclampsia

作　　者：曹伟[1] 谭满风[1] 

机构地区：[1]深圳市妇幼保健院产科,广东深圳518028

出　　处：《中国现代医学杂志》2010年第14期2198-2200,共3页China Journal of Modern Medicine

摘　　要：目的分析早发型重度子痫孕妇和新生儿的预后,探讨其与治疗方法的关系。方法 82例早发型重度子痫患者依据治疗方法的不同分为积极治疗组和保守治疗组,观察两组的围产结局。结果积极治疗组孕妇发生肝功能损害、肾功能损害、心功能不全的比率和新生儿的死亡率、窒息发生率和入住重症监护病房的比率均明显高于保守治疗组孕妇,而新生儿体重则明显低于保守治疗组。结论在保守治疗基础上适时地终止妊娠可以有效改善早发型重度子痫孕妇和新生儿的围产结局。【Objective】To evaluate the value of pregnancy termination in patients with early-onset severe eclampsia and its relation with therapy.【Methods】 Eighty-two patients with early-onset severe eclampsia were divided to the expectant management group and aggressive management group according to therapy and the pregnancy outcome observed.【Results】Compared with expectant management group,the ratio of hepatic dysfunction,renal function abnormality,heart dysfunction in pregnant women and the ratio of perinatal infant mortality,neonatal asphyxia and hospitalization in neonatal intensive care unit were significantly higher,however,the birth weight was significantly lower.【Conclusion】Based on expectant management,pregnancy termination could improve the result of perinatal infant and pregnant women.

关 键 词：早发型重度子痫 保守治疗 围产结局 

分 类 号：R714.245[医药卫生—妇产科学]