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[妊娠中毒症中的早产]

[Premature labor in gestosis].

作者信息

Ruckhäberle K E, Viehweg B, Petzold J, Ruckhäberle B, Schiller E M, Forberg J

出版信息

Zentralbl Gynakol. 1987;109(3):152-6.

PMID:3564753
Abstract

796 pregnancies complicated by preeclampsia and 1,299 pregnancies without toxemia of the years 1981 to 1985 have been compared with regard to prematurity. Prematurity rates were 12.4 respectively 13.8 per cent, hypotrophy rates were 20 resp. 13 per cent, acidosis morbidity was 75 resp. 20 per cent and Apgar values below 8 were 63 resp. 24 per cent. Morbidity rate of respiratory distress syndrome was 8 resp. 12 per cent, of sepsis 2 resp. 7 per cent, intrauterine death rate 5 resp. 2 per cent, but survival rate overall was 93 resp. 90 per cent. Prematurity was influenced by severity of preeclampsia, time of onset and prenatal care. Prolongation of pregnancy by tocolysis is possible principally, but influenced in its effect by maternal and fetal symptoms and the necessity of termination of pregnancy by these factors.

摘要

对1981年至1985年间796例并发子痫前期的妊娠和1299例无中毒症的妊娠进行了早产方面的比较。早产率分别为12.4%和13.8%,低体重率分别为20%和13%,酸中毒发病率分别为75%和20%,阿氏评分低于8分的分别为63%和24%。呼吸窘迫综合征的发病率分别为8%和12%,败血症的发病率分别为2%和7%,宫内死亡率分别为5%和2%,但总体存活率分别为93%和90%。早产受子痫前期的严重程度、发病时间和产前护理的影响。原则上可以通过宫缩抑制剂延长妊娠,但这种效果会受到母体和胎儿症状以及这些因素导致的终止妊娠必要性的影响。

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