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分析1971年~1994年间支气管哮喘合并妊娠55例(0.12%),发生率近年有增高倾向。妊娠期哮喘在早期稳定,孕晚期发作增多。产母及围产儿其他并发症均有增高,本组中、重度好高征14例(25.45%),胎盘早剥3例(5.45%),产后出血6例(10.9l%),产母及早产儿死亡各1例,子宫内生长迟缓(IUGR)11例(19.30%)。因此哮喘合并妊娠后应按高危妊娠处理,加强围产期管理,避免上呼吸道感染,防治妊高征,哮喘发作期应及时有效治疗,加强供氧,监测胎儿胎盘功能,病情稳定者可以维持妊娠至足月,心肺功能不良应及时中断妊娠。
Analysis of 1971 to 1994 bronchial asthma combined with pregnancy in 55 cases (0.12%), the incidence of increased tendency in recent years. Asthma during pregnancy is stable in the early stage, increased in the third trimester of pregnancy. In this group, 14 cases (25.45%) had severe hypergricoid syndrome, 3 cases (5.45%) had placental abruption, 6 cases had postpartum hemorrhage (10.91% ), 1 case of maternal and premature infant death, 11 cases of intrauterine growth retardation (IUGR) (19.30%). Therefore, asthma combined with pregnancy should be treated at high risk of pregnancy, to strengthen perinatal management, to avoid upper respiratory tract infection, prevention and treatment of pregnancy-induced hypertension, asthma attack should be timely and effective treatment, strengthen oxygen supply, monitoring fetal placental function, stable disease can maintain pregnancy To term, cardiopulmonary dysfunction should be interrupted in time.