目的：探讨妊娠高血压患者并发Ⅲ期视网膜病变的相关发病因素及结局。方法：收集我院2012-01/2013-12Ⅲ期妊娠高血压综合征视网膜病变患者105例的临床资料。结果：Ⅲ期妊娠高血压综合征视网膜病变的发生与妊娠高血压综合征病程、血压、蛋白尿呈正相关,在冬春寒冷季节发病率高,及时终止妊娠及适当用激素治疗可促进孕妇视力恢复,改善孕产妇及围产儿预后。结论：Ⅲ期妊娠高血压综合征视网膜病变与冬春季节、妊高征病情严重程度相关,及时治疗可恢复正常视力,改善母子预后,眼底检查应作为妊娠高血压综合征的常规检查。

To explore the related risk factors and outcome in pregnancy- induced hypertension patients with Ⅲ phase of retinopathy. ●METHODS: A total of 105 pregnancy - induced hypertension patients with Ⅲ phase of retinopathy in our hospital from Januany 2012 to December 2013 were enrolled. Clinical date of them were collected to analyze. ●RESULTS: The occurrence of pregnancy - induced hypertension patients with Ⅲ phase of retinopathy were positively correlated with the course of the disease, blood pressure, proteinuria, and it was higher occurred in cold winter and spring, timely termination of pregnancy and appropriate hormone therapy can promote the recovery of vision, and improve outcomes of pregnancy. ●CONCLUSlON: The occurrence of pregnancy - induced hypertension patients with Ⅲ phase of retinopathy associated with season and disease severity. Timely treatment can restore normal vision, improve maternal and neonatal prognosis. Routine examination of fundus examination shou

目的探讨重度妊娠高血压综合征并发急性左心衰患者及时救治护理措施及其效果。方法对12例重度妊娠高血压综合征并发急性左心衰护理工作进行分析和总结。结果12例重度妊娠高血压综合征并发急性左心衰均痊愈出院。结论有预见性的诊治重度妊娠高血压综合征并发急性左心衰疗效良好，有效、及时安全、全面的护理非常重要。

Objective To explore the nursing measures of patient with Acute left heart failure was complicated by serious hypertension syndrome of pregnancy and observe the corresponding effect .Methods Nursery work for 12 hospitalized patient with Acute left heart failure was complicated by serious hypertension syndrome of pregnancy was analyzed and summarized.Result Al of the 12 Acute left heart failure was complicated by serious hypertension syndrome of pregnancy were cured and discharged.Conclusion Predictable diagnosis and treatment and the effective,timely ,safe and comprehensive nursing is very important.

目的探讨尿转铁蛋白和血清胱抑素C在妊娠高血压综合征并发肾损害早期诊断的临床意义。方法在XC8001全自动生化分析仪上检测62例妊娠高血压综合征患者(试验组)的尿转铁蛋白、血清胱抑素C、尿素和肌酐水平,并与56例健康体检者(正常组)的检测结果进行比较统计学分析。结果试验组尿转铁蛋白和胱抑素C水平高于正常组(P0.01),尿素和肌酐高于正常组(P0.05);中度和重度妊娠高血压综合征组检测尿转铁蛋白和胱抑素C水平明显或显著高于轻度妊娠高血压综合征组(P0.05或P0.01),尿转铁蛋白和胱抑素C水平升高与妊娠高血压综合征的病情严重程度相关。结论尿转铁蛋白和胱抑素C可作为诊断妊娠高血压综合征并发肾损害早期较敏感的检测指标,其水平检测能反映妊娠高血压综合征患者肾小管和肾小球早期功能性损伤程度,对妊娠高血压综合征的早期治疗、病情进展、改善预后和围产期的不良结局干预具有积极的重要临床意义。

Objective Clinical significance in early diagnosis of renal damage of pregnancy induced hypertension syn-drome (Pregnancy-induced hypertension syndrome PIH)of urinary transferrin (Transferrin TRF)and serum Cystatin C (Cystatin C Cys-c)discuss.Methods Testing of TRF,serum Cys-c,urea (UREA)and creatinine (CREA)levels 62 cases PIH patient (experimental group)on the XC8001 automatic biochemical analyzer,and 56 cases of healthy people (normal group)testing results of for statistical compared analysis.Results The experimental group TRF and Cys-c levels are higher than normal group (P <0.01),UREA and CREA higher than that in the normal group (P <0.05);moderate and severe PIH group testing of urinary TRF and Cys-c levels were significantly higher than the mild PIH group (P <0.05 or P <0.01),increased TRF and Cys-c levels and the severity of PIH related.Conclusion TRF and Cys-C can be used as PIH complicated with renal damage diagnosis of early testing is sensitive,it can reflect the level test

目的探讨妊娠高血压综合征患者血浆D-D与FDP检测的临床意义。方法选择妊娠25-30周孕妇118例为研究对象,合并妊娠高血压综合征的孕妇53例,妊娠高血压组,65例健康孕妇为健康孕妇组。另选择健康体检的育龄女性50例为健康对照组。比较三组血浆D-D与FDP水平。结果妊娠高血压组患者D-D（5.3±1.0）μg/m L,FDP（19.6±3.1）μg/m L,均显著高于健康孕妇组和健康对照组（P〈0.05）。结论对妊娠高血压综合征患者检测血浆中D-D水平以及FDP水平能够了解患者的病情发展、判断疗效、判断预后。

Objective To discuss significance of detection of D-D and FDP in pregnancy-induced hypertension. Methods118 cases of 25-30 weeks of pregnancy were selected,among 53 cases with pregnancy-induced hypertension as pregnancy-induced hypertension group,and 65 cases of healthy pregnancy as healthy pregnancy group.50 cases of healthy women of childbearing age were selected as control group.ResultsD-D of pregnancy-induced hypertension group was (5.3±1.0)μg/mL,and FDP was(19.6±3.1)μg/mL,which higher than healthy pregnancy group and control group(P<0.05).Conclusion Detection of D-D levels and FDP levels in plasma in pregnancy-induced hypertension syndrome can understand the progression of the patient''s condition, determine the efficacy and prognosis.

探讨30例妊娠高血压综合征的临床疗效。方法:2010年1月-2014年1月收治妊高征患者30例,回顾性分析其临床资料。患者均采用剖宫产手术,与同期来我院经自然分娩的妊娠高血压综合征患者30例进行统计比较,比较两组母婴并发症的发生率。结果:经剖宫产手术终止妊娠后,母婴出现并发症3例,发生率10%,而经阴道自然分娩后,母婴出现并发症9例,发生率30%。结论:剖宫产结束妊娠是治疗妊娠高血压综合征的有效措施,此方法降低了母婴并发症,保证了母婴生命健康。

Objective:To explore the clinical curative effect analysis of 30 cases of pregnancy hypertension.Methods:30 cases with pregnancy hypertension were selected from January 2010 to January 2014.The clinical data were retrospectively analyzed.Patients were treated with cesarean operation.They were compared with 30 cases with gestational hypertension who were natural childbirth in our hospital with the same period.The incidence rate of maternal and infant complications were compared between the two groups.Results:After surgical termination of pregnancy by cesarean delivery,maternal and infant occurred complication in 3 cases, and the incidence rate was 10%.After vaginal delivery,maternal and infant occurred complication in 9 cases,and the incidence rate was 30%.Conclusion:The termination of pregnancy by cesarean delivery is an effective measure in the treatment of pregnancy hypertension.This method reduce the complications of maternal and infant,and ensure the maternal and infant health.