目的探讨降低重度妊高征围生儿病死率的有效措施。方法对比分析子痫与先兆子痫妊娠终止方法、时机、围生儿结局。结果子痫组有较高的阴道助产率,先兆子痫组有较高的剖宫产率,其围生儿结局明显优于子痫组。结论尽早终止妊娠、选择性剖宫产、预防子痫发生是降低重度妊高征围生儿病死率的有效措施。 Objective To investigate the effective measures to reduce the mortality of children with severe PIH. Methods The methods of pregnancy termination, timing and perinatal outcome were compared between preeclampsia and preeclampsia. Results The group of eclampsia had a higher rate of vaginal delivery and the rate of cesarean section in preeclampsia group was significantly higher than that of the group of eclampsia. Conclusion As soon as possible termination of pregnancy, selective cesarean section, prevention of eclampsia is to reduce the rate of severe PIH perinatal mortality is an effective measure.