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本文回性顾分析了两年中65例妊娠期糖尿病,围产儿死亡主要归咎于未及时诊断和未控制的高血糖症及并发先兆子痫。6例新生儿死亡主要是呼吸窘迫综合征(RDS),胎粪吸入综合征(MAS),早产和宫内生长迟缓(IUGR),5例IUGR的产母均并发妊高征。4例死胎,2例死产和12例早产儿。新生儿病率中高胆红素血症21例和低血糖症7例。本文认为为了降低围产期病死率,应在全部孕妇中早期筛查血葡萄糖试验及对高危孕妇检测葡萄糖耐量试验。
This retrospective analysis of 65 cases of gestational diabetes in two years, perinatal deaths are mainly due to not timely diagnosis and uncontrolled hyperglycemia and concurrent pre-eclampsia. Six newborns died of respiratory distress syndrome (RDS), meconium aspiration syndrome (MAS), premature birth and intrauterine growth retardation (IUGR), and 5 of the mothers with IUGR had concurrent PIH. 4 stillbirths, 2 stillbirths and 12 preterm infants. 21 cases of neonatal hyperbilirubinemia and 7 cases of hypoglycemia. This paper suggests that in order to reduce perinatal mortality, early screening of blood glucose in all pregnant women and high-risk pregnancy test glucose tolerance test.