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[妊娠高血压综合征合并“小胎盘”病例的围产期结局]

[Perinatal results in cases of EPH gestosis and "small placenta"].

作者信息

Philipp K, Skodler W D, Pateisky N

出版信息

Geburtshilfe Frauenheilkd. 1986 May;46(5):301-3. doi: 10.1055/s-2008-1035919.

Abstract

The foetal outcome was examined in 24 pregnant females with EPH gestosis and a placental weight below the 20th percentile. The results show a high perinatal mortality in such cases. 11 newborns with a mean birth weight of 1092 g and a mean gestational age of 33.8 weeks died perinatally versus 13 newborns with a mean birth weight of 1705 g and a mean gestational age of 35.6 weeks, who survived. Perinatal mortality was equally high in cases with primary Caesarean section as in cases with spontaneous labour. Perinatological research should, therefore, focus on the development of techniques for estimating placental weight. Patients with a small placenta and EPH gestosis could then be monitored exactly and be delivered at the optimal moment.

摘要

对24例患有妊娠高血压综合征且胎盘重量低于第20百分位数的孕妇的胎儿结局进行了检查。结果显示,此类病例围产期死亡率很高。11例新生儿围产期死亡,平均出生体重为1092克,平均孕周为33.8周;而13例新生儿存活,平均出生体重为1705克,平均孕周为35.6周。原发性剖宫产病例的围产期死亡率与自然分娩病例相同。因此,围产医学研究应侧重于开发估计胎盘重量的技术。这样就可以对胎盘小且患有妊娠高血压综合征的患者进行精确监测,并在最佳时机分娩。

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