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目的 :探讨重度妊高征患者适宜的分娩时机及分娩方式 ,改善围产儿结局。方法 :回顾性分析 1993年 1月～ 1999年 12月在我院住院分娩的重度妊高征 97例患者资料及围产儿结局。结果 :孕 3 3周前分娩的新生儿窒息率、围产儿死亡率较高 ,阴道分娩的围产儿死亡率明显高于剖宫产组。结论 :重度妊高征对围产儿结局有严重影响 ,孕 3 3周后适时终止妊娠是可行的 ,分娩方式应充分考虑剖宫产 ,适当放宽手术指征
Objective: To investigate the appropriate timing of childbirth and delivery in patients with severe PIH and to improve perinatal outcome. Methods: The data of 97 patients with severe PIH admitted to our hospital from January 1993 to December 1999 were analyzed retrospectively. Results: Infant asphyxia and perinatal mortality were higher than those of the cesarean section before delivery. The perinatal mortality rate in vaginal delivery was significantly higher than that in the cesarean section. Conclusion: Severe pregnancy-induced hypertension has a serious impact on the outcome of perinatal pregnancy, pregnant 3 3 weeks after the termination of pregnancy is feasible, delivery mode should give full consideration to cesarean section, the appropriate relaxation of surgical indications