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早发型重度子痫前期母婴预后临床分析 被引量：4

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摘要 目的探讨早发型重度子痫前期对妊娠结局的影响。方法回顾性分析太仓市第一人民医院收治的86例重度子痫前期患者(其中早发型组36例,晚发型组50例,)的母婴结局。结果①早发型组治疗时间为(4.5±3.5)d,长于晚发型组(1.2±1.6)d(P<0.01);早发型组分娩孕周为(33.8±2.5)周,早于晚发型组(37.8±1.6)周(P<0.01);②早发型组母亲低蛋白血症的发生率66.7%,高于晚发型组24.0%(P<0.01);早发型组母亲心功能不全、子痫、HELLP综合征、胎盘早剥、肾功能损害等严重并发症总发生率为25.0%,高于晚发型组14.0%(P<0.05);③早发型组围生儿体质量低于晚发型组(P<0.01),且早发型组中新生儿窒息及围生儿病死率均分别高于晚发型组(P均<0.01)。结论早发型重度子痫前期孕妇病情严重,围生儿预后不佳。严格选择病例行短期的期待治疗可改善围生儿预后。
作者 凌奇
机构地区 江苏省太仓市第一人民医院妇产科
出处 《中国医药指南》 2010年第35期272-274,共3页 Guide of China Medicine
关键词 早发型重度子痫前期 妊娠并发症 围生儿预后
分类号 R714.244 [医药卫生—妇产科学]
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同被引文献38

  • 1杨孜,李蓉,石凌懿,王丽娜,叶蓉华,王荣,黄萍.早发型重度先兆子痫的临床界定及保守治疗探讨[J].中华妇产科杂志,2005,40(5):302-305. 被引量：333
  • 2杨孜,王伽略,黄萍,石凌懿,李蓉,叶蓉华,陈蕾.重度子癎前期终末器官受累不平行性及其围产结局探讨[J].中华围产医学杂志,2006,9(1):10-14. 被引量：109
  • 3薛秀珍,陈素娟,邓巧子.早发型重度子痫前期终止妊娠的临床探讨[J].疑难病杂志,2007,6(6):342-344. 被引量：10
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中国医药指南
2010年 第35期

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