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目的 探讨妊娠高血压综合征终止妊娠的时机、方式和对母婴的影响。方法 选择 76例妊娠高血压征为研究对象 ,观察新生儿体重、剖宫产率、孕产妇并发症和母婴预后情况。结果 总剖宫产率为78 9%。无一例死亡 ;低体重儿发生率为 2 4 4 % ,重度妊高征伴有低体重儿发生率为 2 5 4 % ,明显高于轻、中度妊高征 ;孕产妇并发症中 ,胎盘早剥 2例 ,心衰 2例 ,肾衰 3例 ,产后出血 11例 ;母婴预后良好。结论 适时终止妊娠是产科治疗妊娠高血压综合征的主要手段 ,终止妊娠的方式首选剖宫产。
Objective To investigate the timing, manner and impact of pregnancy-induced hypertension on maternal and fetal termination of pregnancy. Methods Totally 76 cases of pregnancy-induced hypertension were selected as study subjects. Body weight, cesarean section rate, maternal complications and maternal and infant prognosis were observed. Results The total cesarean section rate was 78.9%. No deaths were found. The incidence of low birth weight infants was 24.4%. The incidence of severe PIH with low birth weight was 25.4%, which was significantly higher than that of mild to moderate PIH. In the maternal complications, placenta 2 cases of abortion, 2 cases of heart failure, 3 cases of renal failure, 11 cases of postpartum hemorrhage; maternal and child prognosis is good. Conclusion timely termination of pregnancy is the main means of obstetric treatment of pregnancy-induced hypertension, termination of pregnancy preferred cesarean section.