CAJ | 학술논문

目的：探讨降低重度子痫前期、子痫和围生儿病死率的紧急干预方法。方法分析桂林医学院第二附属医院2009年1月至2015年2月对85例重度子痫前期和子痫患者进行紧急干预的时机和方法。结果77例重度子痫前期和子痫产妇行剖宫产术终止妊娠,8例阴道分娩,85例产妇均存活。早产组(42例)和足月产组(43例)新生儿窒息率分别为23．91%和6．67%,围生儿死亡率分别为6．52%和2．22%。结论及时终止妊娠是抢救重度子痫前期和子痫产妇及围生儿最有效的方法。
목적：탐토강저중도자간전기、자간화위생인병사솔적긴급간예방법。방법분석계림의학원제이부속의원2009년1월지2015년2월대85례중도자간전기화자간환자진행긴급간예적시궤화방법。결과77례중도자간전기화자간산부행부궁산술종지임신,8례음도분면,85례산부균존활。조산조(42례)화족월산조(43례)신생인질식솔분별위23．91%화6．67%,위생인사망솔분별위6．52%화2．22%。결론급시종지임신시창구중도자간전기화자간산부급위생인최유효적방법。
Objective To explore the emergency intervention methods of reducing mortality of patients with severe preeclampsia/eclampsia and perinatal infants. Methods The timing and methods of emergency interventions for 85 patients with severe preeclampsia/eclampsia in The Second Hospital Affiliated to Guilin Medical School from Jan 2009 to Feb 2015 were analyzed. Results There were 77 patients with severe preeclampsia/eclampsia underwent cesarean section for termination of pregnancy, 8 patients underwent vagina delivery, 85 patients were uneventfully. The neonatal asphyxia rate of prernature delivery group and term delivery group were 23. 91 % and 6. 67 % respectively. The prerinatal mortality rate were 6. 52 % and 2. 22 % respectively. Conclusion The most effective method is timely termination of pregnancy for rescuing severe preeclampsia/eclampsia and prerinatal infants.