56例妊娠高血压患者临床诊治分析

目的总结妊娠高血压患者的临床诊治经验。方法对收治的56例临床诊断为妊娠高血压患者,观察其生产方式、新生儿状况、孕产妇预后及并发症发生情况。结果 56例妊娠高血压患者中,剖宫产38例（67.87%）,发生产后出血15例（26.78%）,胎盘早剥2例（3.57%）,发生心衰1例（1.78%）,发生肾衰1例（1.78%）;新生儿Apgar评分,早产6例（10.71%）,窒息4例（7.14%）,死亡1例（1.78%）,死胎1例（1.78%）。结论对妊娠高血压患者,在治疗原发病的同时应适时终止妊娠;为了母婴安全,终止妊娠最好应首选剖宫产方式。

Clinical analysis of 56 cases of pregnancy-induced hypertension disease

Objective To summarize the experiences of clinical diagnosis and treatment for pregnancy-induced hypertension disease.Methods 56 patients with pregnancy-induced hypertension were included.Their production modes,neonatal status,maternal prognosis and complications were observed.Results 38 patients chosed cesarean section（67.87%） among the 56 cases of pregnancy-induced hypertension.There occurred in the mothers 15 cases of postpartum hemorrhage（26.78%）,2 cases of placental abruption（3.57%）,1 case of heart failure（1.78%）,and 1 case of renal failure（1.78%）;Apgar scores for the neonate showed 6 cases of premature birth（10.71%）,4 cases of suffocation（7.14%）,1 case of death（1.78%）,and 1 case of fetal death（1.78%）.Conclusion It is necessary to terminate the pregnancy except for the treatment of the primary disease when pregnancy-induced hypertension occurs,and the best approach to terminate the pregnancy is cesarean section for the safety of mothers and children.