目的:探讨孕32周前早发型子痫前期发病对妊娠结局的影响。方法:对赣州市妇幼保健院孕25~32周发病的早发型子痫前期住院分娩产妇102例,入院后完善相关检查,对症治疗,同时监测胎儿的发育及母体腹水情况;治疗过程中出现剖宫产指征均采用剖宫产终止妊娠,观察不同孕周羊水性状、阿氏评分及新生儿情况。结果:不同孕周胎死宫内、新生儿窒息、新生儿死亡差异有统计学意义(P<0.05);孕32~33周前终止妊娠的羊水粪染程度低于孕33周以后终止妊娠的孕妇,差异有统计学意义(P<0.05)。结论:在期待治疗的过程中早发型子痫前期可以导致母体多器官功能障碍,宫内环境等多因素的评估来决定终止妊娠时机对母儿预后起着关键性的作用。 Objective: To investigate the effect of early onset of preeclampsia on the outcome of pregnancy before 32 weeks of gestation. Methods: 102 maternal hospitalized women with early onset preeclampsia in Ganzhou Maternal and Child Health Care Hospital were enrolled in this study. The patients were admitted to hospital after 25 ~ 32 weeks of gestation. After hospitalization, 102 cases of maternal obstetric delivery were diagnosed and symptomatic treatment was performed. Meanwhile, fetal development and maternal ascites were monitored. Cesarean indications were terminated by cesarean section pregnancy, observation of different gestational age amniotic fluid characteristics, Ash scores and neonatal conditions. Results: There were significant differences in neonatal asphyxia and neonatal asphyxia between different gestation weeks (P <0.05); the feces of amniotic fluid that stopped gestation 32-33 weeks before pregnancy was lower than that of gestation 33 weeks after gestation Pregnant women, the difference was statistically significant (P <0.05). Conclusion: Early onset of preeclampsia can lead to maternal multiple organ dysfunction and intrauterine environment in the process of expecting treatment to determine the timing of termination of pregnancy plays a key role in the prognosis of both mother and child.