51例重度妊高征预后分析

观察５１例重度妊高征患者的预后。住院组（３３例）发生严重并发症者明显低于转诊组（１８例）。住院组中，虽有１例产后发生急性肾衰，经及时血液透析康复，无１例产母死亡，仅１例新生儿因早产、低体重死亡。转诊组中，有２例产母因伴发严重并发症死亡，４例围产儿死亡。两组新生儿体重无明显区别，围产儿结果有显著区别（Ｐ〈０．０５）。提示，积极治疗妊高征和预防其并发症的发生，选用硫酸镁和酚妥拉明控制血压，适当扩容，根

Analysis of Prognosis in 51 Cases of Severe Pregnancy-induced Hypertension

The prognosis of 51 cases of severe pregnancy-induced hypertension(PIH)was analysed retropective-ly.The severe complications were significantly lower in the treatment group than those in non-treatment group. In the treatment group one patient who suffered from acute renal failure after childbirth was cured by hemodialysis,and one perinatal infant died from premature birth and low weight. In the non-treatment group, two patients died from severe complication, and four perinatal infants died. There was significant difference in the outcome of perinatal infants between two groups(P<0.05) ,and no difference in neonatal weight(P>0.05). Conclusions: Active prevention and treatment for PIH,controlling hypertension with magnesium sulfate or phentolamine,proper dilation of blood volume and timely terminating pregnancy according to the worsening of disease were the key for reducing the mortality rate of the mother and perinatal infants.