目的:报道伴有增殖型糖尿病视网膜病变的糖尿病孕妇,在给予适当的治疗与随访后,产妇和胎儿的不良结局。方法:对患有 1 型糖尿病及增殖型糖尿病视网膜病变的四位年轻的糖尿病孕妇( 年龄 20 ～25 岁) ,进行随访观察。结果:孕妇的不良后果: 流产 1 例,先兆子痫及早产 1 例,肾功能衰竭需要透析 1 例; 胎儿的不良后果: 新生儿死亡1 例,早产婴儿 1 例。结论:对于糖尿病孕妇出现增殖型视网膜病变时,妇产科医生应该给予紧密的随访。对于患有糖尿病的妇女,在其妊娠期间的产前检查与随访中,增殖型糖尿病视网膜病变应当作为疾病的评估之一。

AIM:To report maternal and fetal adverse outcomes,in spite of appropriate treatment and regular follow up,in diabetic pregnant women with proliferative diabetic retinopathy.METHODS:Case series of four young pregnant diabetics aged between 20 and 25 years with type 1 diabetes mellitus and proliferative diabetic retinopathy.RESULTS:The maternal adverse outcomes were abortion in one patient,pre-eclampsia and preterm delivery in one patient,and renal failure requiring dialysis in one patient.The fetal adverse outcomes were neonatal death in one case and premature baby in another case.CONCLUSION:These cases highlight the fact that diabetic pregnant women should be closely followed up by the obstetricians and physicians when they have proliferative retinopathy.The proliferative diabetic retinopathy should be considered as a part of the assessment when counseling a diabetic woman in antenatal check up and also in the follow up visits during pregnancy.