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目的:总结先兆子?与子?的临床特点及治疗体会。方法:对76例先兆子?与子?患者的临床资料进行回顾性分析。结果:76例中,先兆子?44例(58%),子?32例(42%),其中产前子?24例,产时子?3例,产后子?5例。孕妇无进行系统产科检查59例,占78%。孕产妇及围生儿并发症多,其中胎儿宫内发育迟缓32例(42%),HELLP综合征3例,DIC3例。全部病例均予镇静、解痉等治疗。分娩时机:孕周达32周以上的先兆子?经积极治疗48小时内可控制病情者于孕36周终止妊娠,如病情仍渐加重,血压难以控制则即时终止妊娠;子?患者于控制抽搐4小时后终止妊娠。分娩方式:剖宫产45例,产钳助产2例;吸引产3例,顺产26例。分娩后全部患者血压恢复正常,产妇无1例死亡。79例新生儿中,子?儿的窒息率高于先兆子?儿(P<0.05)。结论:加强基层产妇保健工作,及时发现先兆子?及子?,适时终止妊娠可改善产妇和围生儿的预后。
Objective: To summarize the clinical features and treatment of pre-eclampsia Methods: The clinical data of 76 patients with pre-eclampsia and sub-patients were analyzed retrospectively. Results: Of the 76 patients, 44 (58%) had preeclampsia and 32 (42%) had children, of which 24 were prenatal, 3 were born during delivery, and 5 were postnatal. 59 pregnant women without systematic obstetric examination, accounting for 78%. Maternal and perinatal complications, including 32 cases of intrauterine growth retardation (42%), HELLP syndrome in 3 cases, DIC3 cases. All cases were sedated, spasm and other treatment. Timing of childbirth: gestational weeks for more than 32 weeks of pre-ecstasy? Patients who can be controlled within 48 hours after active treatment termination of pregnancy in 36 weeks of pregnancy, such as the condition is still getting heavier, blood pressure is difficult to control the immediate termination of pregnancy; child patients in the control of convulsions 4 hours after the termination of pregnancy. Mode of delivery: 45 cases of cesarean section, forceps midwifery in 2 cases; suction in 3 cases, 26 cases of spontaneous delivery. All patients returned to normal after delivery of blood pressure, maternal death in 1 case. In 79 newborns, the asphyxia rate was higher in children than in children (P <0.05). Conclusion: To strengthen maternal health care at primary level and detect pre-eclampsia and children in time, timely termination of pregnancy can improve the prognosis of maternal and perinatal children.