早发型重度子痫前期期待治疗的临床观察

目的: 探讨早发型重度子痫前期的临床治疗。方法: 对81例早发型重度子痫前期的孕妇及其85例围生儿,根据发病的孕周分为A组24~27+6周9例,B组28~31+6周46例,C组32~34周26例。观察指标包括一般情况及产妇和围生儿的结局。结果: A、B、C组分别延长孕周(10.0 ±3.1)、(13.7 ±5.2)、(12.6 ±3.5)天,差异无统计学意义(P > 0.05);3组孕妇并发症发生的差异无统计学意义(P > 0.05);3组分娩方式、新生儿窒息和围生儿病死率差异均有统计学意义(P < 0.05~P < 0.01)。结论: 早发型重度子痫前期病情严重,围生儿的预后不佳,应根据母胎情况,严格选择期待治疗,密切监测母胎病情变化,适时终止妊娠。

Expectant treatment of early-onset severe preeclampsia

Objective:To investigate the clinical therapy for early-onset severe preeclampsia.Methods:The clinical data of 81 patients with early-onset severe preeclampsia and their 85 neonates were analyzed retrospectively.The cases were divided into three groups according to the onset gestation age.Group A included 9 cases between 24-27+6 weeks,group B 46 cases between 28-31+6weeks and group C 26 cases between 32-34 weeks.The general condition,complication and outcome of both mothers and infants were observed.Results...