产前子痫分娩时机及方式选择

目的:探讨妊娠期高血压疾病产前子痫患者终止妊娠的时机与方式。方法:对两组产前子痫患者所采用的不同终止妊娠的时机及方式,进行回顾性分析,对比母婴结局的影响。结果:A组37例,子痫控制至终止妊娠时间为>6h,12例以剖宫产终止妊娠(占32.43%),发生胎盘早剥3例,颅内出血2例,死胎2例,新生儿重度窒息死亡4例。B组27例,子痫控制至终止妊娠时间为<6h,19例行剖宫产(占70.37%),发生胎盘早剥1例,新生儿重度窒息死亡2例,早产儿11例,全部存活。A组中孕产妇并发症发病率及围生儿死亡率明显高于B组(P<0.05)。结论:在镇静与解痉基础上,6h内终止妊娠,及时行剖宫产术是治疗产前子痫的有效手段。

The Time and Method of Delivery in eclampsia

Objective: To discuss the proper time and method of delivery in eclampsia. Method: A retrospective study was done in two groups with esclampsia. All the followings were observed: the gestational weeks of termination, the methods of delivery, and the outcomes of the mothers and fetus. Results: In the group A with 37 cases, the time of termination after the control of eclampsia was > 6 hours. There were 12 cases terminated by cesarean section (32.4%). The complications included placental abruption (3 cases), intracranial hemorrhage (2 cases), fetal death (2 cases), and severe neonatal asphyxia (4 cases). In the group B with 27 cases, the time of termination after control of eclampsia was < 6 hours. There were 19 cases done by cesarean section. The complications were the followings: placental abruption (1 case), severe neonatal asphyxia (2 cases), preterm infant (11 cases) who were all alive. The incidence of complications and fetal mortality in the group A were significantly more than those in the group B(P<0.05). Conclusion: The effective therapy of eclampsia was terminatied within 6 hours after sedation and spasmolysis,especially by cesarean Section.