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子痫前期的孕产妇并发症。

Maternal complications of preeclampsia.

作者信息

Minire Alilaj, Mirton Muhametaj, Imri Vishi, Lauren Muhametaj, Aferdita Manaj

机构信息

Clinic of Gynecology and Obstetrics, University Clinical Center, Prishtina, Kosova.

"Manaj" Clinic, Tirana, Albania.

出版信息

Med Arch. 2013;67(5):339-41. doi: 10.5455/medarh.2013.67.339-341.

Abstract

BACKGROUND

Preeclampsia is classified as mild and severe. It is mild in 75% of cases and 25% presented as severe. In extreme cases the disease can lead to kidney and liver failure, DIC and central nervous system disorders.

OBJECTIVE

To present the type and number of maternal complications of preeclampsia in women hospitalized in Gynecology and Obstetrics Clinic in Prishtina, Kosovo.

METHODS

A transversal (cross-sectional) study with combined method (retro and prospective) which included 430 pregnant women in period time September 2010 to May 2012.

RESULTS

In the group of maternal complications based on our analysis 14 out of 430 subjects have advanced in eclampsia. Liver damage have been found in 4.9% and 12.3% had renal impairment. Detachment of the placenta (abruption) has encountered in 30 cases and 3 patients had an epileptic attack. HELLP syndrome is presented only in 4.2%, pulmonary edema had 24 subjects, DIC was found in 12 cases and only one patient was registered with encephalopathy.

CONCLUSIONS

Preeclampsia is the most common medical complication of pregnancy and is associated with substantial morbidity and mortality for mother. Delivery is the key for saving life.

摘要

背景

子痫前期分为轻度和重度。75%的病例为轻度,25%为重度。在极端情况下,该疾病可导致肾衰竭、肝衰竭、弥散性血管内凝血(DIC)和中枢神经系统紊乱。

目的

介绍科索沃普里什蒂纳妇产科诊所收治的子痫前期孕妇的孕产妇并发症类型及数量。

方法

采用回顾性和前瞻性相结合的横断面研究方法,纳入2010年9月至2012年5月期间的430名孕妇。

结果

根据我们的分析,在孕产妇并发症组中,430名受试者中有14人发展为子痫。发现4.9%的患者有肝损伤,12.3%的患者有肾功能损害。30例发生胎盘早剥,3例患者癫痫发作。仅4.2%的患者出现溶血、肝酶升高和血小板减少综合征(HELLP综合征),24例出现肺水肿,12例发现弥散性血管内凝血(DIC),仅有1例患者登记为脑病。

结论

子痫前期是妊娠最常见的医学并发症,对母亲有较高的发病率和死亡率。分娩是挽救生命的关键。

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