高危狼疮妊娠患者的管理

Management of the high-risk lupus pregnant patient.

作者信息

Witter Frank R

机构信息

Division of Maternal-Fetal Medicine, Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Johns Hopkins Hospital, Baltimore, MD 21287-1228, USA.

出版信息

Rheum Dis Clin North Am. 2007 May;33(2):253-65, v-vi. doi: 10.1016/j.rdc.2007.02.002.

DOI:10.1016/j.rdc.2007.02.002

PMID:17499706

Abstract

Pregnancy in the lupus patient presents a unique clinical challenge. Pregnancy may interact with lupus nephritis and adds preeclampsia to the differential diagnosis of hypertension. Lupus may result in pregnancy loss, fetal growth restriction, and prematurity. The obstetric management of these complex issues is presented for the nonobstetrician.

摘要

狼疮患者怀孕带来了独特的临床挑战。怀孕可能与狼疮性肾炎相互作用，并使子痫前期加入高血压的鉴别诊断中。狼疮可能导致流产、胎儿生长受限和早产。本文为非产科医生介绍了这些复杂问题的产科管理方法。