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目的 :通过对早期发病型妊高征的对照分析找出相应的特点。方法 :采用一年中在我院住院分娩的 2 843人中抽取妊高征患者 5 4例 ,>34周妊高征患者 12 0例 ,≤ 34周妊高征患者 5 4例 ,以浮肿、血压、蛋白尿、肝肾功能损害及凝血功能障碍相比较。结果 :>34周妊高征患者血压平均为 16 .5 /12kPa± 2 .4/2 .1kPa ,≤ 34周妊高征患者血压平均为 2 2 .5 /14kPa±4.0 /2 .3kPa ;蛋白尿≤ 34周患者 + - + + +者明显高于 >34周的妊高征患者 ;肝肾功能损害及凝血功能异常者≤ 34周的妊高征患者明显增高 ;新生儿死亡率为 1 3%。结论 :早期发病型妊高征发病早、体征明显、症状严重 ,对母儿的威胁性大 ,孕产妇、围产儿死亡率高。
OBJECTIVE: To identify the corresponding features through the comparative analysis of early-onset PIH. Methods: A total of 5443 pregnant women with PIH were enrolled from 2 843 hospitalized in our hospital in a year. Among them, 120 cases of patients with PIH> 34 weeks, 54 cases of patients with PIH ≤ 34 weeks, with edema, Blood pressure, proteinuria, liver and kidney dysfunction and coagulation disorders compared. Results: The average blood pressure of patients with 34-week-old pregnancy-induced hypertension was 16.5 / 12kPa ± 2 .4 / 2 .1kPa, and the average blood pressure of patients with 34-week-old pregnancy-induced hypertension was 22.5 / 14kPa ± 4.0 / 2.3kPa; Patients with urine ≤ 34 weeks + - + + + were significantly higher than those with> 34 weeks PIH; Patients with PIH ≤ 34 weeks of liver and kidney dysfunction and coagulation dysfunction were significantly increased; neonatal mortality was 13 %. Conclusions: The incidence of early-onset PIH is early, the signs are obvious, the symptoms are serious, the threats to mother and child are big, and the death rate of pregnant women and perinatal children is high.