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子痫20例临床分析 被引量:1

The clinical analysis of 20 cases of eclampsia
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摘要 目的分析子痫的诱发因素、治疗及分娩时机和方法的选择,进一步加强临床对子痫的预防及处理。方法回顾性分析2001年12月至2007年12月我院20例子痫的临床资料。结果子痫发生率2.19‰,产前子痫17例,占85%,17例产前子痫患者均未做系统的产前检查。产时子痫1例,占0.5%,产后子痫2例,占10.0%。17例产前子痫患者经解痉、镇静、降压等综合治疗抽搐控制后剖宫产终止妊娠,母亲无一例死亡。孕35周以后分娩的围生儿无一例发生新生儿窒息。孕35周以前分娩的围生儿1例死胎,2例轻度窒息,1例重度窒息均转儿科治疗无1例死亡。结论定期产前检查,加强产时产后监护以及适时终止妊娠是预防子痫发生、改善母儿预后的有效措施。 Objective To analyze the predisposing factor of eclampsia, treatment and the choice of delivery time and methods; improving the clinical prevention and treatment of eclampsia. Methods Retrospective analysis 20 examples of the clinical data of eclampsia from December 2001 to December 2007 in our hospital. Results The incidence of eclampsia is 2.19%. 17 cases of prenatal eclampsia, 17 prenatal eclampsia patients doni do systematic prenatal check. I case of delivery-eclmnpsia and 2 cases of postnatal-eclampsia. For 17 cases of prenatal eclampsia patients, we take some comprehensive treatments. Such as, remove spasm, sedation and low blood pressure. After the control of convulsion , the pregnancy was terminated by cesarean section. No one died. Neonatal asphyxia didnt appear in the perinatal infant of after-35 weeks. A stillborn baby in the perinatal infant of before - 35 weeks, two cases of mild asphyxia and one case of severe asphyxia. Conclusion In order to prevent ec- lampsia and improve the quality of treatment, we need take some effective measures. The measures include regular prenatal check, strengthening delivery care and postnatal care, and choice right time to terminate pregnancy.
作者 郑晓燚
出处 《临床和实验医学杂志》 2009年第1期55-56,共2页 Journal of Clinical and Experimental Medicine
关键词 子痫 预防 处理 Eclampsia Prevention Treatment
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