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妊高征是妇女妊娠时常见的并发症,也是孕期特有的疾病,严重地威胁着母婴安全与健康,是孕产妇、围产儿死亡的主要原因之一。本文对我院1994年4月~1995年4月收住院的328例妊高征患者进行临床分析。其中最小年龄为20岁,最大年龄42岁,平均年龄27岁。城市262例妊高征中24例未建围产保健卡,占9.16%;农村66例,未建卡者51例,占77.27%,并以重度妊高征为主。阴道分娩204例,剖宫产124例(8例为双胎,共132个胎儿),剖宫产率为37.80%。经阴道分娩新生儿轻度窒息7例,重度窒息4例,发生率分别为3.43%与1.96%;剖宫产新生儿轻度窒息与重度窒息各1例,发生率各为0.76%。围产儿死亡12例,其中死胎8例,死产1例,新生儿重度窒息3例。各种合并症重度妊高征发生率最高,轻度最低。本文328例妊高征中发生胎盘早剥6例,心力衰竭2例,急性肾功能衰竭1例,产后出血4例,均经抢救治疗痊愈,无1例孕产妇死亡。本文资料分析表明,加强孕期保健,认真监测妊高征三大症状与体征,及早发现,及时处理,提高各级医院产科质量,降低并控制妊娠高血压综合征的发生与发展,适时终止妊娠,是降低妊高征死亡率的关键
Pregnancy-induced hypertension is a common complication of pregnancy during pregnancy, but also a unique disease during pregnancy, a serious threat to the safety and health of mothers and mothers, one of the main causes of maternal and perinatal deaths. This article from April 1994 to April 1995 admitted to our hospital 328 cases of pregnancy-induced hypertension in patients with clinical analysis. The youngest is 20 years old, the oldest is 42 years old and the average is 27 years old. Among 262 cases of pregnancy-induced hypertension in cities, 24 cases did not have perinatal care card, accounting for 9.16%; 66 cases in rural area and 51 cases without card-building, accounting for 77.27%. 204 cases of vaginal delivery, 124 cases of cesarean section (8 cases of twins, a total of 132 fetuses), cesarean section rate was 37.80%. Vaginal delivery of neonatal asphyxia in 7 cases, severe asphyxia in 4 cases, the incidence rates were 3.43% and 1.96%; cesarean section neonatal mild asphyxia and severe asphyxia in 1 case, the incidence of each 0 .76%. Perinatal deaths in 12 cases, of which 8 cases of stillbirth, 1 case of stillbirth, neonatal severe asphyxia in 3 cases. The incidence of severe pregnancy-induced hypertension syndrome all the highest, mild minimal. In this paper, 328 cases of PIH occurred in 6 cases of placental abruption, heart failure in 2 cases, 1 case of acute renal failure, 4 cases of postpartum hemorrhage, were cured by rescue treatment, 1 case of maternal death. This data analysis shows that to strengthen the pregnancy health care, carefully monitor the three symptoms and signs of pregnancy-induced hypertension, early detection and timely treatment to improve the obstetric quality of hospitals at all levels to reduce and control the occurrence and development of pregnancy-induced hypertension, timely termination of pregnancy, It is the key to reduce the mortality rate of PIH