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目的:探讨早发型与晚发型重度子痫前期的发病特点及与新生儿预后的关系。探讨早发型子痫前期重度的发病特点及早期诊断和处理,降低孕产妇死亡率,提高人口素质。方法:分析23例早发型、61例晚发型妊娠期高血压疾病患者及18例同孕龄非子痫前期重度的孕妇在血清蛋白、尿蛋白及新生儿的预后和出生体重的差异。结果:早发型重度子痫前期比晚发型重度子痫前期、同孕龄非子痫前期重度的孕妇更易发生低蛋白血症、低钠血症、尿蛋白、胎儿生长受限、新生儿窒息。结论:早发型重度子痫前期与低蛋白血症、尿蛋白密切相关,且发生早、程度重。且胎儿生长受限与早发型重度子痫前期密切相关。
Objective: To investigate the incidence of early-onset and late-onset severe preeclampsia and its relationship with the prognosis of newborns. To explore the incidence of early onset severe preeclampsia characteristics and early diagnosis and treatment, reduce maternal mortality and improve population quality. Methods: The differences in prognosis and birth weight of 23 cases of early-onset and 61 late-onset gestational hypertensive disorders and 18 pregnant women with non-pre-eclampsia with gestational age were analyzed. Results: Early onset severe preeclampsia is more likely to develop hypoproteinemia, hyponatremia, urinary protein, fetal growth restriction and neonatal asphyxia than late-onset severe preeclampsia and pregnant women with non-pre-eclamptic gestational age. Conclusion: Early onset severe preeclampsia is associated with hypoalbuminemia and urinary protein, with early onset and severe degree. And fetal growth restriction and early onset of severe preeclampsia are closely related.