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目的:探讨早发型重度子痫前期的临床特点及对母儿的影响。方法:回顾性分析2009年1月～2010年9月住院的45例早发型重度子痫前期患者与168例晚发型重度子痫前期患者的一般情况、并发症情况以及围生儿结局。结果:早发型重度子痫前期组在肝功异常、Hellp综合征、胎盘早剥、低蛋白血症、出生体重、胎儿生长受限等方面的发生率均高于晚发型组,差异有统计学意义(P<0.05)。结论:早发型重度子痫前期母儿并发症较重,严密监护下的期待治疗可改善母儿预后。
Objective: To explore the clinical features of early-onset severe preeclampsia and its impact on maternal and child. Methods: The clinical data of 45 patients with early-onset severe preeclampsia and 168 patients with late-onset severe preeclampsia who were hospitalized from January 2009 to September 2010 were retrospectively analyzed. The complication and perinatal outcome were also reviewed. Results: The incidence of early onset severe preeclampsia group in liver dysfunction, Hellp syndrome, placental abruption, hypoproteinemia, birth weight, fetal growth restriction were higher than the late onset group, the difference was statistically significant Significance (P <0.05). Conclusion: The premature infant with severe preeclampsia has severe complications and the expectant treatment under intensive care can improve the prognosis of the mother and child.