妊娠期重度子痫前期及子痫问题终止妊娠方式探讨

目的:降低围生期母婴并发症,探讨妊娠期重度子痫前期及子痫终止妊娠时机和分娩方式。方法:回顾性分析53例妊娠期重度子痫前期及子痫病例,观察母儿病死率。结果:剖宫产36例( 6 7.9% ) ;阴道分娩1 7例( 32 . 1 7% ) ;产妇全部存活,产前子痫7例,产时子痫2例,产后子痫1例,重度子痫前期4 3例,并发胎盘早剥3例,子宫胎盘卒中1例,颅内出血1例,产后出血1 3例。新生儿重度窒息7例,死亡4例(包括2例死胎)。结论:适时终止妊娠是治疗重度子痫前期、子痫极其有效的重要手段,终止妊娠的方式首选剖宫产。

Discussion to Terminating the Pregnancy When Severe Pre-eclampsia or Eclampsia Happened

Objective: To discuss the opportunity and means of terminating the pregnancy when severe pre-eclampsia or eclampsia happened and to reduce the morbidity of the uterus'or infants' complications during perinatal period. Methods: 53 cases of severe pre-eclampsia and eclampsia were retrospected and the mortality of the uterus’ and infants’ were analysed.Results:36 cases (67.9%) were terminated by caesarean section and 17 cases (32.17%) were ended by vagina delivery. All of the lying-in women survived, including 7 cases of antepartum eclampsia, 43 cases of severe pre-eclampsia, 3 cases complicating placental abruption, 1 case of uterus-placenta apoplexy, 1 case of intracranial hemorrhage and 13 cases of postpartum hemorrhage. 7 cases newborns were severely asphyctic and 4 newborns died (including 2 cases fetal death). Conclusion: Terminating the pregnancy opportunely is an effective method to treat severe pre-eclampsia and eclampsia,and caesarean section is the most principal means.