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目的探讨降低重度子痫前期、子痫和围生儿病死率的紧急干预方法。方法分析桂林医学院第二附属医院2009年1月至2015年2月对85例重度子痫前期和子痫患者进行紧急干预的时机和方法。结果 77例重度子痫前期和子痫产妇行剖宫产术终止妊娠,8例阴道分娩,85例产妇均存活。早产组(42例)和足月产组(43例)新生儿窒息率分别为23.91%和6.67%,围生儿死亡率分别为6.52%和2.22%。结论及时终止妊娠是抢救重度子痫前期和子痫产妇及围生儿最有效的方法。
Objective To explore an emergency intervention method to reduce the mortality of severe preeclampsia, eclampsia and perinatal children. Methods Timing and methods of emergency intervention in 85 patients with severe preeclampsia and eclampsia from January 2009 to February 2015 in the Second Affiliated Hospital of Guilin Medical College were analyzed. Results 77 cases of severe preeclampsia and eclampsia maternal cesarean section termination of pregnancy, 8 cases of vaginal delivery, 85 cases of mothers were alive. Neonatal asphyxia rates were 23.91% and 6.67% for the preterm birth group (42 cases) and the full term group (43 cases), respectively. Perinatal mortality rates were 6.52% and 2.22%, respectively. Conclusions The timely termination of pregnancy is the most effective way to rescue the severe preeclampsia and eclampsia maternal and perinatal children.