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目的探讨干预性早产的原因构成以及临床特点。方法回顾性分析2010年3月至2012年1月期间驻马店市中心医院收治的153例干预性早产产妇的临床资料。结果①干预性早产最常见的原因为重度子痫(30.1%),其余依次为前置胎盘(24.2%)、胎膜早破(17.6%)、妊娠合并内科疾病(7.2%)、胎盘早剥(5.9%)、胎儿宫内窘迫(5.2%)、瘢痕子宫(3.3%)、其他(6.5%)。②干预性早产最常见的并发症为黄疸(26.8%),其余依次为肺炎(21.6%)、窒息(18.3%)、呼吸窘迫综合征(11.1%)、颅内出血(8.5%)、其他(3.3%)。③153例干预性早产产妇共分娩出155例早产儿,其中6例发生围生儿死亡,死亡率为3.9%,死亡原因包括重症肺炎4例,呼吸窘迫综合征1例,颅内出血1例。结论针对干预性早产的原因构成以及临床特点制定干预性早产的应急预案可以提高干预性早产患儿的存活率。
Objective To explore the causes of premature intervention and its clinical features. Methods The clinical data of 153 intervention preterm labor women who were admitted to Zhumadian Central Hospital from March 2010 to January 2012 were retrospectively analyzed. Results ① The most common cause of preterm preterm birth was severe eclampsia (30.1%), followed by placenta previa (24.2%), premature rupture of membranes (17.6%), pregnancy-associated medical diseases (7.2%), placental abruption (5.9%), fetal distress (5.2%), scarring of the uterus (3.3%) and others (6.5%). ② The most common complication of interventional preterm birth was jaundice (26.8%), followed by pneumonia (21.6%), asphyxia (18.3%), respiratory distress syndrome (11.1%), intracranial hemorrhage (8.5% %). (3) 155 preterm infants were delivered in 153 interventional preterm births, of which 6 were perinatal deaths with a mortality rate of 3.9%. The causes of death included 4 cases of severe pneumonia, 1 case of respiratory distress syndrome and 1 case of intracranial hemorrhage. Conclusions According to the causes and characteristics of interventional preterm labor, establishing the contingency plan for interventional premature labor can improve the survival rate of interventional premature children.