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本文通过对20例妊高征病人的临床分析,认为加强围产期保健,早期防治妊高征,尤其是合并宫内发育迟缓,是降低母婴死亡的得力措施。对重度妊高征尤其是并发产前心衰者。估计婴儿体重大于3kg,无论宫颈条件是否成熟,以剖宫产母婴最安全。重度妊高征并发宫内发育迟缓,尿蛋白+++~++++,婴儿成活率较低,病情允许,以引产为好。对重度好高征病人终止妊娠前,中及产后24~72小时,一定要严密观察血压、脉搏、尿量及产后宫底高度,及时用药,以防治子痫、脑溢血、产后大出血、心衰、肾衰等并发症,降低母婴死亡。
This article through the clinical analysis of 20 cases of PIH patients, that strengthen the perinatal care, early prevention and treatment of pregnancy-induced hypertension, especially with intrauterine growth retardation, is to reduce maternal and infant mortality effective measures. Severe pregnancy-induced hypertension, especially concomitant prenatal heart failure. Estimated infant weight is greater than 3kg, regardless of whether the condition of the cervix is mature, cesarean section to be the safest mother and child. Severe pregnancy-induced hypertension complicated by intrauterine growth retardation, urinary protein +++ ~ ++++, lower survival rate of infants, the condition allows to induce labor as well. Severe hyperhortic patients terminating pregnancy before, during and postpartum 24 to 72 hours, we must closely observe the blood pressure, pulse, urine output and postpartum heel height, timely medication to prevent eclampsia, cerebral hemorrhage, postpartum hemorrhage, heart failure, Renal failure and other complications, reduce maternal and infant deaths.