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目的探讨重度子痫前期患者行剖宫产的临床处理方法。方法选取重度子痫前期患者64例,所有患者均于我院接受剖宫产手术治疗,对患者的临床资料进行回顾性分析。结果 64例患者平均手术用时为(65.3±2.4)min,平均失血量为(294.8±18.6)mL,其中2例患者失血量高于800 mL;1例术后发生抽搐,1例出现心力衰竭,经迅速输血及对症处理后缓解;所有孕妇均治愈出院。共分娩67例新生儿,其中1例死亡,其余66例新生儿Apgar评分为1~4分6例,5~6分15例,7分及以上45例。结论对于重度子痫前期患者以剖宫产方式终止妊娠安全可靠,值得在临床中推广。
Objective To investigate the clinical treatment of cesarean section in patients with severe preeclampsia. Methods Sixty-four patients with severe preeclampsia were selected. All patients underwent cesarean section surgery in our hospital. The clinical data of the patients were retrospectively analyzed. Results The mean operative time was (65.3 ± 2.4) min and average blood loss was (294.8 ± 18.6) mL in 64 patients, of which 2 patients had blood loss higher than 800 mL. One patient developed convulsions and one patient developed heart failure. After rapid blood transfusion and symptomatic treatment and relief; all pregnant women were cured. A total of 67 newborns were delivered, of which 1 died. The remaining 66 newborns had Apgar scores of 1 to 4 in 6, 5 to 6 in 15 and 7 or more in 45. Conclusion The termination of pregnancy by cesarean section in patients with severe preeclampsia is safe and reliable, which is worth to be popularized clinically.