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目的探讨重度子痫前期伴肾脏受损孕产妇的临床治疗和干预。方法对2014年1月-2015年6月吉林大学第一医院收治的10例重度子痫前期伴肾脏受损孕产妇采取解痉、镇静、降压、利尿等治疗的同时,进行积极的病房环境、心理疏导、病情监护、合理饮食,胎儿、产时及产后监护等合理的临床干预。结果除1例3胎0产孕产妇因继续妊娠将发生子痫和多脏器衰竭,及时行剖宫取胎终止妊娠术(新生儿健康存活),另1例孕产妇因有先天心脏病、主动脉瓣狭窄、心包积液,胎死宫内外,其余8例重度子痫前期经及时治疗和合理的临床干预,使孕周延长至34~36周,在胎儿成熟时行剖宫术终止妊娠,新生儿均存活,且10例重度子痫前期伴肾脏受损孕产妇均产后健康出院。结论及时对重度子痫前期进行诊治及临床干预可有效降低重度子痫前期发生率和母婴死亡率。
Objective To investigate the clinical treatment and intervention of severe preeclampsia with impaired kidney. Methods From January 2014 to June 2015, 10 cases of severe preeclampsia with renal impairment were treated with antispasmodic, sedative, antihypertensive, diuretic and other 10 pregnant women admitted to the First Hospital of Jilin University during the active ward environment , Psychological counseling, patient care, reasonable diet, fetus, childbirth and postnatal care and other reasonable clinical intervention. Results In addition to 1 case of 3 fetuses 0 pregnant women will continue to occur because of pregnancy eclampsia and multiple organ failure, prompt cesarean section termination of pregnancy (neonatal health survival), another case of pregnant women because of congenital heart disease, Aortic stenosis, pericardial effusion, intrauterine and fetal death, and the remaining eight cases of severe preeclampsia after timely treatment and reasonable clinical intervention, the gestational age was extended to 34 to 36 weeks, when the fetus is terminated by cesarean termination of pregnancy , All newborns survived, and 10 cases of severe preeclampsia with impaired kidney mothers were all discharged after delivery. Conclusion Timely diagnosis and treatment of severe preeclampsia and clinical intervention can effectively reduce the incidence of severe preeclampsia and maternal infant mortality.