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目的 探讨妊高征并发腹水的临床特点及围生儿预后。方法 对 1994年 10月～ 1999年3月收治的 82例重度妊高征 (无腹水 )和 2 6例并发腹水的孕妇 ,入院后给予系统管理并实行计划分娩 ,对其围生儿预后进行总结和分析。结果 腹水发生率为 2 1 7% ,对经系统管理和治疗的 82例重度妊高征 (无腹水组 )和 2 6例并发腹水 (腹水组 )孕妇实行了计划分娩 ,共分娩围生儿 113个 ,围生儿病死率7 9% ,无腹水组为 5 9% ( 5 / 85 ) ,腹水组为 46 8% ( 13 / 2 8) ,两组比较 ,差异有非常显著性 (P <0 0 1)。胎儿宫内发育迟缓 (IUGR)发生率 :无腹水组为 18 8% ( 16 / 85 ) ,腹水组为 89 3 % ( 2 5 / 2 8) ,两组比较 ,差异有非常显著性 (P <0 0 1)。结论 妊高征并发腹水是重度妊高征的一种病理发展过程 ,由此而导致的低出生体重儿是妊高征孕妇围生儿死亡的主要原因 ,应加强产前管理 ,重视妊高征并发腹水的临床特点 ,一旦并发腹水 ,应适时进行治疗性计划分娩
Objective To investigate the clinical features of pregnancy induced hypertension complicated by ascites and the prognosis of perinatal infants. Methods 82 pregnant women with severe PIH (no ascites) and 26 with ascites were admitted to our hospital from October 1994 to March 1999. After admission, we gave systematic management and planned delivery, and summarized the prognosis of perinatal infants And analysis. Results The incidence of ascites was 21.7%. Planned delivery was given to 82 pregnant women with severe PIH (no ascites group) and 26 pregnant women with ascites (ascites group) under systematic management and treatment. Total delivery of perinatal 113 The perinatal mortality rate was 79%, ascites group was 59% (5/85), ascites group was 46.8% (13/28), there was significant difference between the two groups (P <0 0 1). The incidence of intrauterine growth retardation (IUGR) was 18.8% (16/85) in ascites group and 89.3% (25/28) in ascites group, with significant difference between the two groups (P < 0 0 1). Conclusion Pregnancy-induced hypertension complicated with ascites is a pathological process of severe pregnancy-induced hypertension. The resulting low birth weight infants is the main cause of perinatal death in PIH pregnant women. Prenatal management should be strengthened and PIH should be emphasized Concurrent ascites clinical features, once complicated by ascites, should be timely delivery of therapeutic plans