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目的:对重度子前期经阴道分娩58例临床资料进行分析,探讨经阴道分娩的指征及处理方法,改善母婴预后。方法:回顾性分析我院1993年1月~2004年11月重度子前期经阴道分娩58例临床资料。结果:新生儿轻度窒息15·38%,重度窒息7·69%,无新生儿死亡;发生产后出血7例,胎盘早剥5例,产前子2例,产时子、产后子、心功能衰竭各1例,母亲全部存活。结论:治疗重度子前期,适时终止妊娠是极为重要的手段。选择最佳终止妊娠方式,对改善母婴预后有非常重要的意义。剖宫产无疑是抢救重度子前期患者的有效手段之一,但是随着剖宫产率的上升,其并发症较阴道分娩多。因而,对重度子前期患者,如病情稳定,具备经阴道分娩条件,在对孕产妇及胎儿进行严密监护下,仍应采取阴道分娩。
OBJECTIVE: To analyze the clinical data of 58 cases of vaginal delivery in severe preeclampsia, discuss the indications and treatment of vaginal delivery, and to improve the prognosis of maternal and infant. Methods: The clinical data of 58 cases of vaginal delivery in severe preeclampsia from January 1993 to November 2004 in our hospital were retrospectively analyzed. Results: Neonatal asphyxia was 15.38% and severe asphyxia was 7.69%, no neonatal death occurred. There were 7 cases of postpartum hemorrhage, 5 cases of placental abruption, 2 cases of prenatal sthenia, , heart failure in 1 case, the mother all survived. Conclusion: The treatment of severe preeclampsia, timely termination of pregnancy is an extremely important means. Select the best way to terminate the pregnancy, to improve the prognosis of mother and child have a very important significance. Cesarean section is undoubtedly one of the effective ways to rescue patients with severe subfamilies, but with the increase of cesarean section rate, its complications are more than vaginal delivery. Therefore, patients with severe preeclampsia, such as stable condition, with vaginal delivery conditions, in maternal and fetus under the close supervision, vaginal delivery should still be taken.