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本文作者对268例妊高征患者HCT,尿E/C比值及羊水最大平段及对胎儿的影响进行分析。结果表明,随妊高征病情加重其HCT值逐渐增高;当HCT≥35%时,尿E/C比值降低,羊水量减少,胎儿窘迫,新生儿窒息,低体重儿及围产儿死亡率增加。我们认为HCT水平升高,降低了子宫胎盘流量,导致胎盘功能低下及影响胎儿预后。因此,监测妊高征患者HCT水平对了解好高征的发展,指导治疗及预测胎儿预后是非常必要的。
The authors analyzed 268 patients with PIH HCT, urinary E / C ratio and the largest amniotic fluid flat segment and the impact of the fetus were analyzed. The results showed that HCT increased gradually with the increase of PIH. When HCT≥35%, urinary E / C ratio decreased, amniotic fluid volume decreased, fetal distress, neonatal asphyxia, low birth weight children and perinatal mortality increased. We believe that elevated HCT levels reduce uterine placental flow, resulting in poor placental function and affecting fetal outcomes. Therefore, the monitoring of patients with PIH HCT levels to understand the development of good syndrome, guiding treatment and prognosis of fetal is very necessary.