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总结我院79例妊娠合并慢性高血压并发妊高征的临床资料。并发妊高征占慢性高血压并妊娠的58.6%。母亲平均年龄29.9±4.3岁。其中初产妇65例(82.3%),经产妇14例(17.7%)。80例围产儿(1例双胎)的结局:16例胎儿死亡,1例死产和5例新生儿死亡。围产儿死亡率27.5%,明显高于单纯妊高征组(3.6%),P<0.001。母亲并发症包括胎盘早剥、心衰,脑血管意外及产后出血。1例产妇死于脑出血。就妊娠合并慢性高血压并发妊高征对母婴的影响进行讨论。
The clinical data of 79 cases with pregnancy-induced hypertension complicated with pregnancy-induced hypertension in our hospital were summarized. Concomitant PIH accounted for chronic hypertension and pregnancy 58.6%. The average age of the mother was 29.9 ± 4.3 years. Among them, 65 were primipara (82.3%) and 14 were mothers (17.7%). Outcomes of 80 perinatals (1 twin): 16 fetal deaths, 1 stillbirth and 5 neonatal deaths. The perinatal mortality rate was 27.5%, significantly higher than the PIH group (3.6%), P <0.001. Maternal complications include placental abruption, heart failure, cerebrovascular accident and postpartum hemorrhage. One patient died of cerebral hemorrhage. The impact of pregnancy-associated chronic hypertension with pregnancy-induced hypertension on mothers and infants is discussed.