中国综合临床
中國綜閤臨床
중국종합림상
CLINICAL MEDICINE OF CHINA
2009年
12期
1317-1319
,共3页
重度子痫前期%腹水%妊娠期高血压疾病%预后
重度子癇前期%腹水%妊娠期高血壓疾病%預後
중도자간전기%복수%임신기고혈압질병%예후
Severe pre-eclampsia%Ascites%Hypertensive disorder complicating pregnancy%Prognosis
目的 分析妊娠期高血压疾病重度子痫前期并发腹水的临床特点和防治方法.方法 将184例重度子痫前期患者分为并发腹水组(36例)和未并发腹水组(148例),比较其临床特点.结果 重度子痫前期并发腹水组平均终止妊娠时间为(34±4)周,未并发腹水组为(36±3)周,差异有统计学意义(t=2.71,P＜0.01).重度子痈前期并发腹水组宫内死胎6例(16.67%),新生儿死亡14例(38.89%),早产22例(61.11%);未并发腹水组宫内死胎4例(2.7%),新生儿死亡16例(10.81%),早产35例(23.65%);组间比较差异均有统计学意义(X~2=10.99、16.73、19.01,P均＜0.001).2组中总蛋白、白蛋白、白/球比值、乳酸脱氢酶、血肌酐、24 h尿蛋白差异均有统计学意义[总蛋白:(51.68±6.08)、(59.34±8.28)g/L,白蛋白:(24.32±4.06)、(32.16±5.63)g/L,白/球比值:(0.92±0.26)、(1.16±0.26),乳酸脱氢酶:(495.87±312.56)、(323.81±185.00)U/L,血肌酐:(131.62±95.34)、(91.52±86.83)μmoL/L,24 h尿蛋白:(4.21±3.51)、(2.38±2.57)g/24 h,t=6.17、8.77、5.50、4.79、2.72、3.98,P均＜0.05或＜0.01].结论 重度子痫前期并发腹水病情极为严重,应及时终止妊娠,分娩后腹水可消退;早期、系统、定期的产前检查可及时发现、预防重度子痫前期及并发症的发生.
目的 分析妊娠期高血壓疾病重度子癇前期併髮腹水的臨床特點和防治方法.方法 將184例重度子癇前期患者分為併髮腹水組(36例)和未併髮腹水組(148例),比較其臨床特點.結果 重度子癇前期併髮腹水組平均終止妊娠時間為(34±4)週,未併髮腹水組為(36±3)週,差異有統計學意義(t=2.71,P＜0.01).重度子癰前期併髮腹水組宮內死胎6例(16.67%),新生兒死亡14例(38.89%),早產22例(61.11%);未併髮腹水組宮內死胎4例(2.7%),新生兒死亡16例(10.81%),早產35例(23.65%);組間比較差異均有統計學意義(X~2=10.99、16.73、19.01,P均＜0.001).2組中總蛋白、白蛋白、白/毬比值、乳痠脫氫酶、血肌酐、24 h尿蛋白差異均有統計學意義[總蛋白:(51.68±6.08)、(59.34±8.28)g/L,白蛋白:(24.32±4.06)、(32.16±5.63)g/L,白/毬比值:(0.92±0.26)、(1.16±0.26),乳痠脫氫酶:(495.87±312.56)、(323.81±185.00)U/L,血肌酐:(131.62±95.34)、(91.52±86.83)μmoL/L,24 h尿蛋白:(4.21±3.51)、(2.38±2.57)g/24 h,t=6.17、8.77、5.50、4.79、2.72、3.98,P均＜0.05或＜0.01].結論 重度子癇前期併髮腹水病情極為嚴重,應及時終止妊娠,分娩後腹水可消退;早期、繫統、定期的產前檢查可及時髮現、預防重度子癇前期及併髮癥的髮生.
목적 분석임신기고혈압질병중도자간전기병발복수적림상특점화방치방법.방법 장184례중도자간전기환자분위병발복수조(36례)화미병발복수조(148례),비교기림상특점.결과 중도자간전기병발복수조평균종지임신시간위(34±4)주,미병발복수조위(36±3)주,차이유통계학의의(t=2.71,P＜0.01).중도자옹전기병발복수조궁내사태6례(16.67%),신생인사망14례(38.89%),조산22례(61.11%);미병발복수조궁내사태4례(2.7%),신생인사망16례(10.81%),조산35례(23.65%);조간비교차이균유통계학의의(X~2=10.99、16.73、19.01,P균＜0.001).2조중총단백、백단백、백/구비치、유산탈경매、혈기항、24 h뇨단백차이균유통계학의의[총단백:(51.68±6.08)、(59.34±8.28)g/L,백단백:(24.32±4.06)、(32.16±5.63)g/L,백/구비치:(0.92±0.26)、(1.16±0.26),유산탈경매:(495.87±312.56)、(323.81±185.00)U/L,혈기항:(131.62±95.34)、(91.52±86.83)μmoL/L,24 h뇨단백:(4.21±3.51)、(2.38±2.57)g/24 h,t=6.17、8.77、5.50、4.79、2.72、3.98,P균＜0.05혹＜0.01].결론 중도자간전기병발복수병정겁위엄중,응급시종지임신,분면후복수가소퇴;조기、계통、정기적산전검사가급시발현、예방중도자간전기급병발증적발생.
Objective To analyse clinical characteristics and preventive methods of pregnancy-induced hypertensive severe pre-eclampsia with ascites.Methods 184 cases of patients with severe pre-eclampsia complicated with ascite were divided into two groups and the clinical characteristics were compared(severe pre-eclampsia complicated with ascite group,n=36;Severe pre-eclampsia group,n=148 cases).Results The average time of the termination of pregnancy was (34±4) weeks in severe pre-eclampsia complicated with ascites group,and (36±3) weeks in severe pre-eclampsia group (t=2.71,P＜0.01).There were 6 cases of intrauterine stillborn (16.67%),14 cases of neonatal mortality (38.89%);22 cases of premature labor (61.11%) in severe pre-eclampsia complicated with aacites group;There were 4 cases of intrauterine stillborn (2.7%);16 cases of neonatal mortality (10.81%);and 35 cases of premature labor (23.65%) in severe pre-eclampsia group (X~2=10.99,16.73,19.01,P＜0.001).There were differences in the total protein,albumin,white/ball ratio,lactic acid dehydregenase,serum creatinine,24-hour urinary protein between the two groups [total protein:(51.68±6.08) g/L vs (59.34±8.28)g/L,albumin:(24.32±4.06) g/L vs (32.16±5.63) g/L,white/ball ratio:(0.92±0.26) vs (1.16±0.26),lactic acid dehydrogenase:(495.87±312.56) U/L vs (323.81±185.00) U /L,serum creatinine:(131.62±95.34) μmol/L vs (91.52±86.83) μmol/L,24 h urinary protein(4.21±3.51)g/24 h vs (2.38±2.57)g/24h,t=6.17,8.77,5.50,4.79,2.72,3.98,P＜0.05 or ＜0.01].Conclusion Tbe condition of severe pre-eclampsia with ascites is extremely serious,so pregnancy should be timely terminated.The aacites can be dissipated after delivery.Early,systematic and regular prenatal care can prevent severe pre-eclampsia and complications in time.
