中国实用妇科与产科杂志

中国实用妇科与产科杂志

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子痫终止妊娠时机和方式选择及再发抽搐的预防

王伽略，杨孜   

  1. 作者单位：北京大学第三医院，北京 100191
  • 出版日期:2016-12-02 发布日期:2016-12-06
  • 通讯作者: 杨孜

Termination timing due to eclampsia and mode selection and prevention of recurrent convulsions.

WANG Jia-lve，YANG Zi.   

  1. Peking University Third Hospital，Beijing 100191，China
  • Online:2016-12-02 Published:2016-12-06

摘要：

子痫发作严重威胁母儿近远期预后，其每次发作都是对孕产妇中枢神经系统和心血管系统的沉重打击，避免发生和预防再发最为重要。对于远离足月的子痫仍可以考虑选择恰当病例，在病情平稳基础上及密切监护与治疗下试行延迟分娩，但应高度个体化处理。产前及产时子痫患者在子痫控制2 h后即可考虑终止妊娠，如果出现危及母儿生命的严重并发症，可尽快终止妊娠而不必考虑时限。

关键词: 子痫, 期待治疗, 妊娠终止, 分娩时机

Abstract:

Abstract：Eclampsia is serious threat to life of the mother and children and long-term prognosis. Each episode is a heavy attack on the brain and central nervous system and cardiovascular system of mothers. Avoiding occurrence and preventing recurrence are most important.For eclampsia long before term，expectant management may be considered in selected cases of stable condition on the basis of close monitoring. Termination of pregnancy can be considered in 2 hours after controlling convulsion. If there are serious complications in mothers and fetuses the pregnancy should be terminated as soon as possible without considering the time limitations.

Key words: eclampsia, expectant management, pregnancy termination, timing delivery

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