目的:分析重度子痫前期并发肺水肿的临床特点及母婴预后。方法:将该院2004年1月~2005年8月间161例重度子痫前期,分为并发肺水肿组(肺水肿组,31例)和未并发肺水肿组(非肺水肿组,130例),比较其临床特点和母婴预后。结果:两组间比较,终止妊娠的时间、宫内死胎发生率、早产发生率、新生儿窒息率、新生儿5 min Apgar评分<7分、围产儿死亡率、新生儿出生体重差异有统计学意义(P<0.05)。入院时患者的呼吸、心率、谷草转氨酶、乳酸脱氢酶及孕产妇并发症的发生率差异有统计学意义(P<0.05)。结论:重度子痫前期并发肺水肿明显影响母婴预后导致不良结局。 Objective: To analyze the clinical features and prognosis of patients with severe preeclampsia complicated with pulmonary edema. Methods: From January 2004 to August 2005, 161 severe preeclampsia patients in the hospital were divided into two groups: pulmonary edema group (31 cases) and non-pulmonary edema group (130 cases ), Compared with its clinical features and maternal and child prognosis. Results: There was a statistically significant difference between the two groups in the time of termination of pregnancy, the incidence of stillbirth in the uterus, the incidence of preterm birth, the rate of neonatal asphyxia, Apgar score <7 at 5 min in neonates, perinatal mortality and birth weight Significance (P <0.05). Respiratory rate, heart rate, aspartate aminotransferase, lactate dehydrogenase and maternal complications in admission were significantly different (P <0.05). Conclusions: Severe preeclampsia with pulmonary edema significantly affects maternal and infant prognosis resulting in poor outcome.