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目的:探讨妊娠高血压综合征(妊高征)终止妊娠的时机及方式。方法:总结5年来收治的42例重度妊高征的临床资料,对终止妊娠的时机及方式进行分析。结论:终止妊娠的时机应根据妊高征的病情而定。孕周小于34周、病情严重者胎儿成活率低,应首先考虑孕妇的安全;34~36周+6者可在治疗妊高征同时,给予促胎肺成熟药物2~3天;妊娠已达37周、子痫抽搐控制、估计在4~6小时内未能从阴道结束分娩者,首选剖宫产。
Objective: To investigate the timing and mode of termination of pregnancy induced hypertension (PIH). Methods: The clinical data of 42 cases with severe pregnancy-induced hypertension admitted in the past five years were summarized and the timing and manner of termination of pregnancy were analyzed. Conclusion: The timing of termination of pregnancy should be based on the condition of PIH. Gestational age less than 34 weeks, the condition is serious, the survival rate of the fetus is low, should first consider the safety of pregnant women; 34 to 36 weeks +6 were able to treat PIH at the same time, given to promote fetal lung mature drugs 2 to 3 days; pregnancy has reached 37 Week, eclampsia convulsions control, it is estimated in 4 to 6 hours failed to end delivery from the vagina, preferred cesarean section.