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目的:报道伴有增殖型糖尿病视网膜病变的糖尿病孕妇,在给予适当的治疗与随访后,产妇和胎儿的不良结局。方法:对患有 1 型糖尿病及增殖型糖尿病视网膜病变的四位年轻的糖尿病孕妇( 年龄 20 ～25 岁) ,进行随访观察。结果:孕妇的不良后果: 流产 1 例,先兆子痫及早产 1 例,肾功能衰竭需要透析 1 例; 胎儿的不良后果: 新生儿死亡1 例,早产婴儿 1 例。结论:对于糖尿病孕妇出现增殖型视网膜病变时,妇产科医生应该给予紧密的随访。对于患有糖尿病的妇女,在其妊娠期间的产前检查与随访中,增殖型糖尿病视网膜病变应当作为疾病的评估之一。
OBJECTIVE: To report the adverse outcomes of maternal and fetal pregnancies in diabetic patients with proliferative diabetic retinopathy after appropriate treatment and follow-up. METHODS: Four young diabetic patients (aged 20-25 years) with type 1 diabetes and proliferative diabetic retinopathy were followed up. Results: The adverse consequences of pregnant women: abortion in 1 case, preeclampsia and premature delivery in 1 case, renal failure requires dialysis in 1 case; fetal adverse consequences: neonatal death in 1 case, 1 premature infant. Conclusions: Obstetrics and gynecologists should be followed closely for proliferative retinopathy in diabetic pregnant women. For women with diabetes mellitus, proliferative diabetic retinopathy should be assessed as one of the conditions during prenatal visits and follow-up during their pregnancy.