82例双胎妊娠及其围产儿分析

自１９８８年１月～１９９３年１２月我院共分娩１０１２４例，双胎８２例。结果表明：双胎组早产，妊高征、贫血、胎膜早破、产后出血和围产儿死亡率明显高于单胎组，为此提出：①有双胎家族史、由药物诱导排卵的孕妇、孕吐严重、先兆流产和子宫大于停经月份者应作Ｂ超检查，有助于双胎的早期诊断。②妊娠３２周以后，双胎孕妇应连续卧床休息，注意营养，治疗合并症，对减少早产、增加新生儿体重和降低围产儿死亡率有重要意义。

An Anlysis of 82 Cases of Twin Conception and Perinatal Infants

patients were delivered including 82 cases of twin conceptions.The results showed that:the spontaneous incidence of preterm labour,EPH anaemia,premature rupture of membranes,postpartum hemorrhage,or perinatal mortatity are obviously greater in the twins than that in the single prenancy.It suggests that:(1)all the pregnant women,having family history of twining or artificial indution of ovulation with clomiphene and those patents with serious are vomiting,threatening abortion or the uterus larger than expected,should have an antenatal ultrasonic examination.It's helpful to make anearly diagnosis of twins,(2)from the 32th week,the patients with twins should stay in bed continuously,having adequate nutritious food having their complications treated.This is important for reducing the possibility of premature labour and perinatal mortality.