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支气管哮喘合并妊娠的预后及处理
PROGNOSIS AND TREATMENT IN PREGNANCY COMPLICATING ASTHMA
【摘要】 分析1971年~1994年间支气管哮喘合并妊娠55例(0.12%),发生率近年有增高倾向。妊娠期哮喘在早期稳定,孕晚期发作增多。产母及围产儿其他并发症均有增高,本组中、重度好高征14例(25.45%),胎盘早剥3例(5.45%),产后出血6例(10.9l%),产母及早产儿死亡各1例,子宫内生长迟缓(IUGR)11例(19.30%)。因此哮喘合并妊娠后应按高危妊娠处理,加强围产期管理,避免上呼吸道感染,防治妊高征,哮喘发作期应及时有效治疗,加强供氧,监测胎儿胎盘功能,病情稳定者可以维持妊娠至足月,心肺功能不良应及时中断妊娠。
【Abstract】 Fifty five cases(0.12%)of pregnancy complicating asthma in our hospital during 1971~1994 were analysed.The incidence of asthma in pregnancy increased progressively.The course of pregnancy complicating asthma was uneventful in first trimester,but the patients had various degree of attacks during second or third trimester.The materno-fetal peripartum complications increased significantly,including preeclampsia (14 cases,25.45%),abruptio placenta(3 cases,5.45%)and postpartum hemorrhage(6 cases,10.9l%).Maternal death occurred in l case(l.82%),perinatal infant death in 2 case(3.50%)and IUGR in 11 cases(19.30%).The above obervation showed that the pregnancy complicating asthma can influence the maternofetal prognosis.It is important to prevent and treat respiratory disease and preeclampsia,to control the asthmatic attack,and to monitor the fetoplacental function.The mode of delivery should be decided according to the maternofetal condition.
【Key words】 Pregnancy; Asthma; Pregnancy-induced hypertension; IUGR;
- 【文献出处】 天津医科大学学报 ,JOURNAL OF TIANJIN MEDICAL UNIVERSITY , 编辑部邮箱 ,1996年02期
- 【分类号】R562.250.7
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