不同类型重度子痫前期临床特点
子痫,,子痫；疾病特征；妊娠结局,1资料与方法,2结果,3讨论,【参考文献】
【摘要】 目的 探讨不同类型重度子痫前期的临床特点及治疗方法。方法 分析119例重度子痫前期患者的临床资料，按发病孕周将患者分为两组：孕≤32周70例(早发型组)，孕>32周49例(晚发型组)。主要分析指标：发病孕周、终止妊娠孕周、孕周延长时间、孕妇严重并发症、围产儿死亡率及小于孕龄儿发生率。结果 两组孕妇并发症发生率、围产儿死亡率差异有显著性(P<0.05)；两组小于孕龄儿发生率比较差异无显著性(P>0.05)。早发型组保守治疗时间为(4.1±3.5)天，晚发型组为(2.8±3.1)天，差异有显著性(P<0.05)。结论 早发型重度子痫前期发病早、病情重，对母儿危害极大，恰当的围产期管理并适时终止妊娠是治疗成功的关键。【关键词】 子痫；疾病特征；妊娠结局
Clinical attributes of different kinds of severe preeclampsia
CUI Hongyan.Tianjin Central Hospital of Obstetrics and Gynecology，Tianjin 300052，China
【Abstract】 Objective To clarify the clinical attributes and explore the treatment of different kinds of severe pre-eclampsia.Methods One hundred and nineteen cases meeting the criteria of severe pre-eclampsia were enrolled in this study.Patients were divided into 2 groups according to onset gestation: early onset group(n=70)with onset ≤32 weeks of gestation,late onset group(n=49) with onset >32 weeks of gestation.Main outcome measures included prolongation of gestation,perinatal mortality rate and small for gestational age as well as major complications.Results Both the complication for pregnant women and the mortality for perinates of two groups were different(P<0.05).The average pregnancy prolongation was (4.1±3.5)days for early onset group,which was longer than that for late onset group [(2.8±3.1)days ......
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