早发型重度子痫前期的诊疗决策

早发型重度予痫前期可采取保守治疗恰当延长孕龄，减少因胎儿不成熟导致的围生儿死亡。但对妊娠28周～32周以前者的保守治疗，应采取非常慎重的态度，可以预期结局作为临床决策依据，恰当把握终止妊娠的时机与指征，达到提高胎儿有效成活率，避免孕产妇终末脏器不可逆损害，降低孕产妇病死率与婴幼儿死亡及病残率，减轻家庭和社会负担的目的。

ClinicDecision-making of Early Onset Severe Preeclampsia

The desired goal in the management of patients with pre-eclampsia is safety of the mother first and then delivery of a live mature newborn that will not require intensive and prolonged neonatal care. In general, maternal and perinatal complications are significantly increased in patients with severe disease prior to 34 weeks' gestation. Conservative management with close maternal and fetal surveillance is possible in well-selected patients with early onset severe preeclampsia, to manage these patients conservatively up to 34 weeks' gestation. It must be determined gingerly, whether aggressive or conservative management of severe preeclampsia at 28 to 32 weeks is more beneficial to maternal and neonatal outcome. Because such conservative management entails risk for both the mother and fetus, timely delivery is always appropriate therapy during such management of severe preeclampsia at 28 to 32 weeks be performed.