妊娠高血压严重并发症的临床特点.pdfVIP

西部医学 2015 年 5 月第 27 卷第 5 期 MedJ 研Test China , May 2015 , Vo l. 27 ,No. 5 • 787 • 饪振高血压严重并发症的临床特点 靳东芳朱俊美 (陕西省康复医院妇产科，陕西西安 710065) E摘要】 目的 探讨任娘高血压疾病严重并发症的临床特点及其防治对策。方法 统计分析 2002 年 1 月 -2012 年 1 月于我院住院分娩发生任娘高血压疾病的 1378 例产妇的病历资料，观察其严重并发症发病情况，以及任娘高血压 疾病各严重并发症致孕产妇的死亡情况，探讨任娘高血压疾病严重并发症的临床特点。结果 1378 例任生在高血压疾病 孕产妇中发生严重并发症者 77 例，其发生率为 5.58% ， 75 例任高征严重并发症发生于重皮子痛前期，占 97.40%; 胎盘 早剥发生率为 3.21% ，位于任娘高血压疾病严重并发症发生率之首:孕产妇因任娘高血压疾病严重并发症死亡的主要 并发症是脑血管意外(37.5%) 和 DIC(25.0%) 。结论 早期诊断，及早预防，采取正确的诊疗措施是避免娃娘高血压严 重并发症不良后果的重要手段。 E关键词】 任娘高血压疾病;严重并发症;临床特点 E申图分类号】 R 714. 24+ 6 【文献标志码】 A doi: 10. 3969/j. issn. 1672-351 1. 2015. 05. 050 Clinical characteristics of serious complications of hypertensive disease of pregnancy JIN Dongfang , ZHU J unmei (De户artment 0/ Obstetrics and Gynecology , Shanxi Rehabilitation Hos户ital ， X ian 710065) [Abstract] Objective To study the clinical characteristics and countermeasures of serious complications of hyper- tensive disease of pregnancy. Methods Clinical data of 1378 parturient with gestational hypertension were analyzed. The severe complications were observed. Results There were 77 cases (5.58%) with severe complications of 1378 gestational hypertension. The incidence of placental abruption was 3. 21 %. The cause of death was cerebrovascular accident (37.5%) and DIC(25. 0%). ConcJusion Early diagnosis , prevention , early correct diagnosis and treatment measures are important means to avoid the adverse consequences of a serious complication of pregnancy-induced hypertension. [Key words] Hypertensive disorders of pregnancy; Serious complications; Clinical features