妊高征剖宫产术后并发大量腹水临床分析及预防措施

目的 探讨妊高征剖宫产术后并发大量腹水临床特点及预防.方法 回顾分析5例妊高征剖宫产术后大量腹水（腹水组）和21例妊高征剖宫术后无腹水病例（对照组）.结果 腹水组总蛋白、白蛋白、血色素水平明显低于对照组（P＜0.05）术前腹水明显多于对照组（P＜0.01）.术后白细胞及中性粒细胞明显高于对照组（P＜0.05）.结论 妊高征剖宫产术后大量腹水与患者术前病情（术前大量腹水、低蛋白血症、贫血）、潜在感染及术中清除大量腹水加重低蛋白血症有关.因此,补充白蛋白、控制感染、孕期纠正贫血十分重要.

A report and preventive measure of pregnancy induced hypertension complicated with mass ascites after cesarean section

Objective:To investigate clinical feature and prevent pregnancy induced hypertension complicated with mass ascites after cesarean section.Methods : Clinical data of 5 cases with pregnancy induced hypertension complicated with mass ascites after cesarean section(group of ascites),and 21 cases no ascites after cearean section(control group).Results:Total serum protein,albumin,haemoglobin level in group of ascites were less than of in control group(P<0.05).Ascites before cesarean section and neufrophil proportion in groups of ascites were high than of that in control group(P<0.01,P<0.05).Conclusion:Mass ascites after cesarean section has relation to patient situation before cesarean section(mass ascites before cesarean section,hypoproteinemia,anemia),potential infection,clean out mass ascites aggravate hypoproteinemia during operation,Therefore,It is important preventive measures,to supplement albumin and prevent infection and correct anemia during pregnancy.