Chesley L C
Perspect Nephrol Hypertens. 1976;5:31-40.
Of 270 women who survived eclampsia in the period 1931 through 1951, all but three were traced in 1974. In white women having eclampsia as primiparas, neither the remote mortality nor the prevalence of hypertension is increased over that in unselected women matched for age. Both are increased significantly in white women having eclampsia as multiparas and in the 24 black women in the study. The excess of remote deaths among the multiparous eclamptic women is accounted for by the lethal consequences of hypertensive disease. Repeated hypertensive pregnancies after eclampsia are often a sign of latent essential hypertension and may precipitate prematurely a chronic hypertension that is in the making. The prevalence of diabetes of late onset is increased over the expected rate in both primiparous and multiparous eclamptic women. It is concluded that eclampsia is neither a sign of latent hypertensive nor of renal disease, and it does not cause chronic hypertension, whatever the duration of the acute hypertensive phase.
在1931年至1951年期间子痫发作后存活的270名女性中，除3人外，其余在1974年都被追踪到。初产妇患子痫的白人女性，远期死亡率和高血压患病率与年龄匹配的未选女性相比均未增加。子痫的经产妇白人女性以及研究中的24名黑人女性的这两项指标均显著增加。子痫经产妇中远期死亡过多是由高血压疾病的致命后果所致。子痫发作后反复出现高血压妊娠往往是潜在原发性高血压的迹象，可能会过早促成正在形成的慢性高血压。初产妇和经产妇子痫女性中晚发型糖尿病的患病率均高于预期。结论是，子痫既不是潜在高血压也不是肾病的迹象，无论急性高血压期持续多久，它都不会导致慢性高血压。
