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1990~1998 年间,荆州市活产总数803 517 例,其中因妊高征死亡者34 例,占死亡总数的1333% ,居荆州市孕产妇死亡原因顺位的第2 位。妊高征死亡专率为423/10 万。其死亡的主要原因是脑血管病、脑水肿和心力衰竭,两者共占7061% 。资料分析表明,个人家庭卫生知识贫乏和医疗保健系统中工作人员知识技能不足是影响妊高征死亡的主要因素。加强孕期保健,认真监测妊高征 3 大症状与体征,提高产科门诊质量,合理使用硫酸镁和降压药,防止脑血管意外,适时终止妊娠,是降低妊高征死亡率的关键。
Between 1990 and 1998, there were 803 517 live births in Jingzhou, of which 34 died of PIH, accounting for 1333% of the total number of deaths, ranking No. 2 for the cause of maternal death in Jingzhou City. The rate of pregnancy-induced hypertension is 4.23 / 100,000. The main cause of death was cerebrovascular disease, cerebral edema and heart failure, both accounting for 7061%. Data analysis shows that the lack of knowledge of personal home health knowledge and skills in the health care system staff is the main factor affecting the death of PIH. To strengthen the pregnancy care, carefully monitor the three major symptoms and signs of pregnancy-induced hypertension, improve the quality of obstetric clinic, the rational use of magnesium sulfate and antihypertensive drugs to prevent cerebrovascular accidents, timely termination of pregnancy is the key to reduce the mortality rate of PIH.