早发型重度子痫前期发病对妊娠结局影响的分析

目的 探讨早发型重度子痫前期的发病对妊娠结局的影响。方法 选择妊娠≤34周的早发重度子痫前期病例36例，按发病孕周分成A组28～31周13例和B组32～34周23例。分析发病孕周、终止妊娠孕周、孕周延长时间、严重并发症发生情况、胎儿及新生儿死亡率和小于孕龄儿发生率。结果 两组病例均没有孕产妇死亡和子痫发生，但围产儿的预后差异有显著性，B组围产儿死亡率及发病率明显低于A组。结论 早发型重度子痫前期在终止妊娠前短期的保守治疗是安全有效的，能明显减少围产儿死亡率及提高生成率，发病孕周早围产儿预后差。

Analysis of the impact of early severe pre-eclampsia on outcome of gestation

Objective To explore the therapeutical principle, well- timed gestational termination time and the affection to the mother and neonate of early severe pre - eclampsia. Methods 36 outpatients diagnosed as severe pre - eclampsia were involved in the study and divided into Group A with the gestational week of 28 ~ 31 and Group B with the gestational week of 32 - 34. The results of illness during gestational weeks, the weeks of termination of gestation, the weeks of delayed pregnancy, severe complications, the mortality of the fetus and neonates. Results There was no maternal death or eclampsia. But there was significance difference in prognosis and the mortality and incidence rates of the perinatal neonates in group B were significant lower than that in Group A. Conclusion Conservative treatment of early severe pre - eclampsia in a short period before termination of gestation is safe and effective for reducing mortality and enhancing survival rate.