摘要
目的探讨早发型重度子痢前期的临床特点及治疗。方法对温州医学院附属第一医院妇产科2002-01—2004-12收治的179例重度子痢前期患者（其中旱发型43例，即24～34孕周发病者；晚发型136例，即／〉34孕周发病者）及其新生儿210例进行回顾性分析，观察指标包括一般情况、并发症／合并症及母婴结局。结果早发型重度子痈前期患者分娩孕周较晚发型早（P〈0.01）、治疗时间较晚发型长（P〈0．05），其临床症状及并发症／合并症较晚发型严重，母婴结局明显较晚发型差。结论早发型重度子痈前期病情严重，围生儿预后不佳，应根据母胎情况，严格选择病例进行保守治疗，同时密切监测母胎病情变化。
Objective To investigate the clinical characteristics and therapy of early-onset preeclampsia, Methods We retrospectively analyzed 179 severe preeclampsia mothers and their 210 neonates who were cured in the First Affiliated Hospital Of Wenzhou Medical College during January of 2002 to December of 2004, The 179 severe preeclampsia patients included 43 early-onset （ onset during 24 to 34 gestational weeks） and 136 late-onset （ onset after 34 gestational weeks）, We studied the general condition of the mothers, complications and outcomes of both mothers and infants, Results The time of gestation termination in the cases with early-onset severe preeclampsia was earlier than in these with late-onset type （ P 〈 0, 01 ） ; in addition, the time period of treatment was also longer（ P 〈 0. 05 ）, The clinical symptoms and complications of early-onset severe preeclampsia were more severe and the outcomes of mothers and infants were significantly worse than those in late-onset one. Conclusion The pathogenetic condition of early-onset severe preeclampsia is severe, The outcomes of mother and infant are not good, Obstetricians should select cases strictly for expectant treatment and close monitoring is very important for those mothers and infants.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
北大核心
2006年第7期519-521,共3页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
妊娠并发症
心血管
子痈前期
特点
治疗
Pregnant complication,cardiovascular
Pre-eclampsia
Characteristics
Therapy
