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重度妊高征80例,发生率0.31%,其中先兆子痫46例,发生率0.18%;子痫34例,发生率0.13%。分娩方式以剖宫产术最多共42例,占52.50%;各种手术产为自然分娩的2.3倍(P<0.01)。新生儿平均体重:先兆子痫组2573g,子痫组3016g。围产儿死亡7例,水肿儿1例,纠正围产儿病死率67.42‰。母亲并发症:心功能不全2例,脑血管意外1例,胎盘早剥2例,HELLP综合征2例,DIC1例,均无死亡。失血80~2800ml,平均266.15ml。提示:重度妊高征分娩方式,有条件阴道分娩者宜尽量缩短第二产程,否则应适当放宽剖宫产指征。
80 cases of severe pregnancy-induced hypertension, the incidence of 0.31%, of which 46 cases of preeclampsia, the incidence of 0.18%; 34 cases of eclampsia, the incidence of 0.13%. Delivery mode to a maximum of 42 cases of cesarean section, accounting for 52.50%; all kinds of surgical delivery was 2.3 times the natural delivery (P <0.01). Neonatal average body weight: preeclampsia group 2573g, eclampsia group 3016g. Perinatal death in 7 cases, edema in 1 case, correct perinatal mortality of 67.42 ‰. Mothers complications: heart failure in 2 cases, 1 case of cerebrovascular accident, 2 cases of placental abruption, HELLP syndrome in 2 cases, DIC1 cases, no deaths. Bleeding 80 ~ 2800ml, an average of 266.15ml. Tip: severe pregnancy-induced hypertension delivery mode, conditional vaginal delivery should try to shorten the second stage of labor, or should be appropriate to relax cesarean indications.