子痫患者分娩时机及方式的选择

目的 探讨子痫患者分娩时机及方式。方法 对47例产前、产时子瘸病例进行回顾性分析。结果 所有子痫患者经药物控制，病情稍稳定后立即行剖官产终止妊娠，97．97％孕妇术后恢复好，孕妇死亡1例；44例在孕期未作系统检查，占93．62％；未足月及足月的新生儿存活率及窒息率无明显差异。结论 加强孕产妇系统管理，预防子痫发生；适时终止妊娠可改善孕产妇及围生儿的预后；终止妊娠的方式首选剖官产。

Determination of Time of Delivery in Patients with Eclampsia

Objectivc To discuss the appropriate delivery time and method in patients with eclampsia. Methods 47 cases with eclampsia before or during delivery are reviewed. Results After medicine controlling and state of patients stabilizing, all cases were undertaken cesarean section to terminate pregnancy.97.97% of all cases recovered after operation while l case died. Within duration of pregnancy, 44 cases accounting for 93.62 % did not take systematic inspection. The rates of sur-vival and apnea in neonate made no obvious difference between full - term and not - full - term neonate. Conclusions It is important to prevent eclampsia by strengthening administration of pregnant women and lying - in vromen. Terminating pregnancy appropriately could improve prognosis of pregnant or lying - in women and fetus or neonate. And the first choice to terminate pregnant is cesarean section.