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目的 探讨重度妊高征患者的临床诊治措施。方法回顾2006年1月至2009年1月45例重度妊高征患者的临床资料。结果本组45例患者中,2例(<33周)病情不能有效控制,同时考虑胎儿<33周存活率低转送上级医院;余43例重度妊高征患者经治疗后,血压逐渐下降至正常范围,水肿减轻(+)~(++),蛋白尿(+);新生儿体重2000~2500 g 25例,2500~3500 g 19例,3500~4000 g 1例。轻度窒息5例,重度窒息2例,围生儿死亡3例。结论加强卫生宣教,使孕妇及家属都懂得围产保健的重要性;普及产前定期检查:筛选高危孕妇进行重点管理,预防性服用钙剂,积极治疗妊高征,适时终止妊娠,是降低母婴死亡率的重要措施。
Objective To investigate the clinical diagnosis and treatment of severe PIH. Methods The clinical data of 45 patients with severe PIH from January 2006 to January 2009 were retrospectively reviewed. Results Among the 45 patients in this group, 2 patients (<33 weeks) were unable to effectively control the disease. The fetus was transferred to the higher-level hospital for less than 33 weeks survival rate. After the treatment, the remaining 43 cases of severe PIH gradually decreased to normal (+) ~ (++), proteinuria (+); neonatal body weight 2000 ~ 2500 g in 25 cases, 2500 ~ 3500 g in 19 cases, 3500 ~ 4000 g in 1 case. 5 cases of mild asphyxia, severe asphyxia in 2 cases, 3 cases of perinatal death. Conclusions Health education is strengthened so that both pregnant women and their families can understand the importance of perinatal health care. Prenatal screening is popular: high-risk pregnant women are selected for key management, prophylactic administration of calcium, active treatment of pregnancy-induced hypertension, timely termination of pregnancy, Important measure of infant mortality.