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目的探讨重度子痫前期患者的临床特点、终止妊娠的时机及围生结局。方法对本院自2010年6月~2012年12月收治的44例重度子痫前期患者的临床资料进行回顾性分析。结果本组患者中,对41例患者行剖宫产终止妊娠,除1例患者因胎盘重度早剥死亡外,其余均母婴健康;3例患者经阴道分娩。结论重度子痫前期临床特点各异,易导致母婴预后不良,选择适时恰当的方法终止妊娠,可有效降低母婴并发症,改善围生儿结局,降低孕产妇及围产儿的发病率和死亡率,且不影响剖宫产率。
Objective To investigate the clinical features of patients with severe preeclampsia, timing of termination of pregnancy and perinatal outcome. Methods The clinical data of 44 severe preeclampsia patients admitted to our hospital from June 2010 to December 2012 were analyzed retrospectively. Results In this group of patients, 41 patients underwent cesarean termination of pregnancy, except for 1 patient died of placental abruption, the other were maternal and child health; 3 patients by vaginal delivery. Conclusions The clinical features of severe preeclampsia are different, which lead to the poor prognosis of maternal and infant. Choosing the right time to terminate the pregnancy may reduce the complications of maternal and infant, improve the outcome of perinatal children and reduce the morbidity and mortality of pregnant women and perinatal children Rate, and does not affect the rate of cesarean section.