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目的:分析早发型重度子痫前期患者及围产儿结局。方法:选择2009年1月~2011年3月诊治的60例早发型重度子痫前期患者,根据孕周分为a、b、c三组,分析三组患者的孕周、并发症及围产儿结局。结果:三组间早发型重度子痫前期并发症比较,差异无统计学意义(P>0.05);随着孕周的增长,围产儿窒息率和死亡率明显降低(P<0.05);期待治疗时间b组明显长于其他两组(P<0.05)。结论:早发型重度子痫前期新生儿窒息和围产儿死亡率随孕周增长而降低,期待治疗应严格选择病例,并严密监测母胎情况,适时选择合适的终止妊娠方式。
OBJECTIVE: To analyze the outcomes of patients with early-onset severe preeclampsia and perinatal infants. Methods: Sixty patients with early-onset severe preeclampsia who were diagnosed and treated from January 2009 to March 2011 were selected and divided into three groups according to their gestational age: gestational age, complications and perinatal ending. Results: There was no significant difference in the incidence of early onset severe preeclampsia between the three groups (P> 0.05). With the increase of gestational age, the rate of asphyxia and mortality in perinatal children was significantly decreased (P <0.05) Time group b was significantly longer than the other two groups (P <0.05). Conclusions: Asphyxia and perinatal mortality in premature new onset severe preeclampsia decrease with gestational weeks’ growth. It is hoped that cases should be selected strictly and the mother’s fetus should be monitored closely. Appropriate termination of pregnancy should be chosen timely.