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重度妊娠高血压综合征(简称妊高征)严重影响母儿预后,终止妊娠仍是迄今唯一根本治疗妊高征的治愈方法,所以,对妊高征孕产妇掌握适当分娩时机、达到母儿最佳预后是临床需要解决的根本问题。本文对1995年1月至1998年12月住本院的65例、30~36~(+3)周终止妊娠的重度妊高征的母儿预后进行分析,以探讨重度妊高征孕产妇最佳分娩时机、分娩方式及处理, 临床资料 孕妇年龄22~39岁,平均29岁。初产妇50例,经产妇15例。诊断标准参照《妇产科学》。妊高征发生于孕22~35周,平均30.15±4.5周,持续时间5天~13周,平均4.8±3.8周。入院后根据病情给予镇静、解痉、降压、利尿等综合治疗。终止妊娠前常规给予地塞米松促胎肺成熟2~3天(死胎除外)。
Severe pregnancy-induced hypertension (referred to as PIH) seriously affect the prognosis of maternal and child, termination of pregnancy is by far the only fundamental cure for pregnancy-induced hypertension syndrome, so pregnant women with PIH grasping the appropriate timing of delivery to reach the mother and child most Good prognosis is the fundamental problem to be solved in clinical practice. In this paper, from January 1995 to December 1998 in our hospital 65 cases, 30 ~ 36 ~ (+3) weeks of pregnancy termination of pregnancy-induced severe PIH maternal and child prognosis to explore the most severe pregnancy induced maternal pregnancy Good timing of childbirth, delivery methods and treatment, clinical data Pregnant women aged 22 to 39 years, mean 29 years. 50 cases of primipara, 15 cases of mothers. Diagnostic criteria refer to “Obstetrics and Gynecology.” PIH occurred in pregnant 22 ~ 35 weeks, an average of 30.15 ± 4.5 weeks, duration of 5 days to 13 weeks, an average of 4.8 ± 3.8 weeks. After admission according to the condition to be sedated, antispasmodic, antihypertensive, diuretic and other comprehensive treatment. Give routine dexamethasone before termination of pregnancy to promote fetal lung maturity 2 to 3 days (except for stillbirths).