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目的探讨重度子病前期并发腹水终止妊娠的方式及母儿的结局。方法对42例重度子病前期并发腹水患者进行回顾性分析,并取同期378例未并发腹水的重度子痫前期患者作为对照组。结果腹水组的剖宫产率、围生儿死亡率、新生儿重度窒息均明显高于无腹水组。结论重度子痫前期并发腹水是疾病发展的严重阶段,围生儿预后差,孕期应加强母婴监护,合理治疗并适时终止妊娠以改善妊娠结局,终止妊娠的方式首选剖宫产。
Objective To explore the way of early pregnancy with severe ascites and ascites termination of pregnancy and maternal and child outcomes. Methods A total of 42 patients with severe preeclampsia complicated with ascites were retrospectively analyzed, and 378 patients with severe preeclampsia without ascites were selected as the control group. Results Ascites group cesarean section rate, perinatal mortality, neonatal severe asphyxia were significantly higher than no ascites group. Conclusions Severe preeclampsia with ascites is a serious stage of disease development. The prognosis of perinatal infants is poor. Pregnancy should be strengthened maternal and child care, reasonable treatment and timely termination of pregnancy to improve pregnancy outcomes, termination of pregnancy preferred cesarean section.