Dildy G A, Cotton D B
Department of Obstetrics and Gynecology, University of Utah School of Medicine, Salt Lake City.
Crit Care Clin. 1991 Oct;7(4):829-50.
Pregnancy-induced hypertension is a disorder of unknown etiology unique to pregnant women. Classic clinical manifestations include hypertension, proteinuria, and edema. Early recognition and proper management of this disease may serve to avoid serious maternal complications. Ultimate maternal treatment depends on delivery of the fetus and placenta. Advanced stages of this disease result in multi-organ system dysfunction that may be life-threatening to the mother and her fetus. Such maternal complications of PIH include severe hypertension, oliguria or anuria, HELLP syndrome, eclamptic seizures, liver rupture, pulmonary edema, cerebral edema, and abruptio placentae. A multidisciplinary approach of the critical care team often will effect a reduction in maternal morbidity and mortality.
妊娠期高血压是一种病因不明的、孕妇特有的疾病。典型的临床表现包括高血压、蛋白尿和水肿。早期识别并妥善处理这种疾病有助于避免严重的母体并发症。母体最终的治疗取决于胎儿和胎盘的娩出。该疾病的晚期会导致多器官系统功能障碍，这可能对母亲及其胎儿构成生命威胁。妊娠期高血压的此类母体并发症包括重度高血压、少尿或无尿、HELLP综合征、子痫发作、肝破裂、肺水肿、脑水肿和胎盘早剥。重症监护团队采用多学科方法通常会降低母体的发病率和死亡率。
