早发型重度子痫前期期待治疗探讨

早发型重度子痫前期目前尚无统一的临床时间界定,多以孕34周界定ES-PE。因其母体并发症多和围生儿病死率高,如何处理成为临床医师面对的棘手问题,近年来众多学者提出了期待治疗的方法。期待治疗是在严格选择病例的前提下,密切监测母婴病情变化,兼顾母儿利益的同时尽量延长孕周,并适时终止妊娠,终止妊娠方法首选剖宫产。适当期限的期待治疗有助于改善母儿结局。

Expectant Management of Early Onset Severe Pre-eclampsia

The clinical delimitation of early onset severe preeclampsia（ES-PE） has not been unified Now most of the scholars think ES-PE happens before 34 weeks＇gestation. It is characterized by the high incidence of maternal complications and pefinatal mortality, and the complications occur early and severe, so it is difficult to handle. It is important to select cases carefully and close monitoring for expectant management. Expectant management can prolong gestation age and get better prenatal prognosis, in the balance of maternalprenatal condition. The pregnancy termination should be in good tinting and cesarean section is the first choice. The suitable duration of expectant management can improve maternal-prenatal prognosis.