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目的探讨研究重度子痫前期Hellp并发症的处理及预防。方法 26例Hellp并发症患者共,对其临床资料探讨研究比较,包括分娩方式、产中后出血情况、产后血小板、肝功能恢复情况、新生儿情况等方面。结果分娩方式,患者中5例自然分娩,5例会阴侧切分娩,16例剖宫产。产后出血情况,自然分娩的患者与正常分娩者近似;剖宫产的患者高于正常分娩者,平均出血390 ml;产后血小板、肝功能恢复情况,均在4~5 d恢复;新生儿情况,状况良好,无窒息及并发症发生。结论重度子痫前期易并发Hellp,严重威胁产妇及新生儿的安全,尽快检查,发现,治疗,在适当的时候中断妊娠,以此降低产妇及新生儿的死亡率。
Objective To study the treatment and prevention of Hellp complications in severe preeclampsia. Methods A total of 26 patients with Hellp complications were studied and compared with clinical data, including modes of delivery, postpartum hemorrhage, postpartum platelets, recovery of liver function, newborns and so on. Results Mode of delivery, 5 patients in the natural childbirth, 5 cases of perineal lateral delivery, 16 cases of cesarean section. Postpartum hemorrhage, spontaneous delivery of patients and normal delivery were similar; cesarean section patients than normal delivery, the average bleeding 390 ml; postpartum platelets, liver function recovery, were recovered in 4 ~ 5 d; newborns, In good condition, without asphyxia and complications. Conclusions Severe preeclampsia is complicated by Hellp, which threatens the safety of maternal and newborn seriously. It can detect, discover and treat as soon as possible and interrupt the pregnancy at appropriate time to reduce the maternal and neonatal mortality.