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目的明确子痫的临床特点,母、儿结局,寻找子痫发生的危险因素。方法回顾性地统计29例子痫患者的病历资料,并对其进行描述性的分析。结果产前、产时、产后子痫发生的比例分别为59%、14%、45%。产后子痫大多发生在产后24 h内(69%)。发生子痫的患者中21%血压并没有明显的升高(<160/110 mm Hg),61%没有明显的头痛症状,31%患者尿蛋白并不明显。但大多数(76%)都会有不同程度的水肿,且出现时间较早(平均29周)。新生儿早产率63%,围生儿死亡率18%。结论子痫使得产妇产科并发症的发生率,新生儿的早产率、围生儿的死亡率明显升高,没有能够找到子痫发生的危险因素,但是对于较早出现水肿的孕妇应加强监测。为了减少子痫这一严重危害母儿健康情况的发生还需要做更多的,更进一步的研究。
Objective To clarify the clinical characteristics of eclampsia, maternal and child outcomes, looking for eclampsia risk factors. Methods The clinical records of 29 patients with eclampsia were retrospectively analyzed and analyzed descriptively. Results The proportions of preeclampsia, maternity and postpartum eclampsia were 59%, 14% and 45% respectively. Postpartum eclampsia occurred mostly within 24 h postpartum (69%). Twenty-one percent of patients with eclampsia had no significant increase in blood pressure (<160/110 mm Hg), 61% had no apparent headache, and 31% did not. However, most (76%) had varying degrees of edema and appeared earlier (mean, 29 weeks). Neonatal preterm birth rate of 63%, perinatal mortality rate of 18%. Conclusions The incidence of obstetric complications caused by eclampsia was significantly higher in infants than in newborns and infants. There was no risk factor for eclampsia, but pregnant women with earlier edema should be monitored. In order to reduce the occurrence of eclampsia, a serious harm to the health of maternal and child, more and more research needs to be done.