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目的总结妊高症行剖宫产的临床意义与注意事项。方法现选取本院2002年8月~2010年7月间收治的42例妊高症分娩患者纳入研究。总结本组剖宫产情况及术后结果。结果孕产妇情况:术中平均出血量(247.6±26.8)ml,其中1例宫缩乏力致产中出血(1/42),1例胎盘植入(1/42),最终2例均行子宫次全切术。术后未发生死亡或产后大出血病例。经6~17d住院期后均痊愈出院。新生儿情况:最终娩出41例新生儿(41/42);1例胎盘早剥死胎。新生儿阿氏评分为(7.3±2.2)分。结论剖宫产是妊高症的适宜症之一,适时选择终止妊娠,同时术前予以解痉降压,能够有效降低围生期母婴病死几率。
Objective To summarize the clinical significance and precautions of cesarean section in pregnancy-induced hypertension. Methods Select the hospital from August 2002 to July 2010 admitted 42 cases of pregnancy-induced labor were included in the study. Summary cesarean section in this group and postoperative results. Results: The average intraoperative blood loss (247.6 ± 26.8) ml, of which 1 case of uterine inertia induced bleeding (1/42), 1 case of placenta accreta (1/42), the final two cases were performed uterus Total hysterectomy. No postoperative death or postpartum hemorrhage occurred. After 6 ~ 17d hospitalization were cured and discharged. Neonatal conditions: The final delivery of 41 cases of newborns (41/42); 1 case of placental abruption of the fetus. The neonatal score was (7.3 ± 2.2) points. Conclusion Cesarean section is one of the most suitable indications for pregnancy-induced hypertension. Choosing termination of pregnancy timely and preoperative antispasmodic and antihypertensive treatment can effectively reduce the probability of perinatal maternal and infant mortality.