46例早发型重度子痫前期期待治疗的临床分析

目的分析不同孕周早发型重度子痫前期对母婴结局的影响。方法对46例早发型重度子痫前期病例进行回顾性分析，根据其孕周不同分为两组，即A组20例（28周≤孕周〈32周）、B组26例（32周≤孕周〈34周），比较两组间孕产妇一般情况、并发症发生情况、围生儿结局。结果A组并发症发生率与B组比较差异没有统计学意义（P〉0．05）；两组间围生儿病死率（胎死宫内及新生儿死亡）比较差异有统计学意义（P〈0．05）。结论早发型重度子痫前期发病孕周对孕妇严重并发症的影响不显著，但发病孕周越早，其围产儿病死率越高。在保证孕妇安全下可采取保守治疗适当延长胎龄，以期达到胎儿成熟，降低围生儿病死率，提高新生儿存活率。

Clinical Analysis on Expectant Treatment of 46 Cases with Early-onset Severe Preeclampsia

Objective To investigate the effects of the early-onset severe preeclampsia that occurred before 34 weeks of gestation on the maternal and/or infant outcomes.Methods The clinical data of 46 cases with early-onset severe preeclampsia were analyzed retrospectively.All patients were divided into two groups according to the gestational ages:group A(20 cases with 28-31 weeks of gestation),group B(26 cases with 32-33 weeks of gestation).The general condition of pregnant women,incidence of complications and perina...