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妊高症(PIH)是孕产妇及围产儿死亡的主要原因。恰当的分娩方式与围产儿的预后关系密切。对62例PIH及围产儿进行回顾性分析。结果:1.适时干预性终止妊娠能使孕妇病情迅速好转,并使胎儿尽早脱离宫内不良环境,减少胎死宫内的发生。2.在重度PIH。干预性分娩者明显高于自然分娩组,围产儿预后明显优于自然分娩组。3.重度PIH宜选用剖宫产终止妊娠。4.轻、中度PIH患者孕37周后,应采取干预性分娩,可提高围产儿成活率及生存质量。
Pregnancy-induced hypertension (PIH) is the leading cause of maternal and perinatal deaths. Proper delivery and the prognosis of perinatal children are closely related. 62 cases of PIH and perinatal children were retrospectively analyzed. Results: 1. Timely intervention of termination of pregnancy can make the condition of pregnant women quickly improved, and the fetus as soon as possible from the adverse intrauterine environment, reduce the incidence of fetal death. 2. In severe PIH. Interventional delivery was significantly higher than the natural delivery group, the prognosis of perinatal children was significantly better than the natural delivery group. 3. Severe PIH should choose cesarean termination of pregnancy. 4. 37 weeks after mild and moderate PIH patients should take interventional delivery, can improve perinatal survival rate and quality of life.