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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。
Objective: To investigate the timing and manner of termination of pregnancy in prenatal eclampsia of hypertensive disorder complicating pregnancy. Methods: The timing and mode of different termination of pregnancy adopted by the two groups of preeclampsia were retrospectively analyzed to compare the effects of maternal and infant outcomes. Results: A group of 37 cases, the control of eclampsia until termination of pregnancy for> 6h, 12 cases of cesarean termination of pregnancy (32.43%), placental abruption in 3 cases, intracranial hemorrhage in 2 cases, stillbirth in 2 cases, newborn Severe asphyxia deaths in 4 cases. B group 27 cases, the control of eclampsia until the termination of pregnancy time was 6h, 19 cases of cesarean section (70.37%), 1 case of placental abruption, neonatal severe asphyxia death in 2 cases, premature children in 11 cases, all survived . The incidence of maternal complications and perinatal mortality in group A were significantly higher than those in group B (P <0.05). Conclusion: On the basis of sedation and antispasmodics, termination of pregnancy within 6h and timely cesarean section are effective methods for prenatal eclampsia.