【论著】产科子痫44例临床分析

  09-06-15  

摘要目的分析子痫的临床特点、分娩时机的选择及对母儿的影响，提高临床对该疾病的认识和处理能力。方法回顾性分析我院2002年4月—2008年5月44例子痫临床资料。结果子痫发生率0.27%，以产前子痫及未作系统的产前检查者为主。子痫患者围生儿结局与终止妊娠的孕周有关，孕34周前发病者新生儿重度窒息、围生儿死亡率显著增加。围生儿死亡的影响因素与发病孕周、分娩孕周、分娩方式及入院时血压和新生儿的体重有关。结论子痫易致围生儿预后不良。子痫抽搐控制后及时终止妊娠，可有效降低新生儿重度窒息及围生儿死亡率。
关键词子痫分娩围生儿结局
Clinical analysis of 44 cases of eclampsia
ZHENG Shujie
ABSTRACTObjectiveTo analyze clinical features of eclampsia to improve the diagnosis and treatment. MethodsRetrospective analysis on 49 cases with eclampsia from 2002.April2008.May. ResultsThe incidence of eclampsia was 0.27%. Perinatal outcome were not associated with the times of seizures, but gestational weeks at onset of eclampsia. The rate of severe neonatal asphyxia and perinatal death were significantiy increased when eclampsia happened before 34 weeks. The influencing factors of prenatal death were onset gestational weeks,delivery gestational weeks, blood pressure on admission and newborn weight. ConclusionsThe rate of iatrogenic premature delivery is high in eclampsia with poor perinatal outcome. Timely delivery after controlled seizures will reduce the incidence of perinatal death and severe asphyxia in newborn.
KEY WORDSClampsiaDeliveryPerinatal outcome