Koucký M
Gynekologicko-porodnická klinika 1. lékarské fakulty UK a VFN Praha.
Vnitr Lek. 2011 Sep;57(9):728-31.
The author deals with the contemporary perspective on treatment hypertension in pregnancy. The article highlighted that hypertension treatment should be conducted not only with regard to the mother, but also to the possible negative impact on supply to the fetus. New information, particularly in the pathophysiology of pregnancy related hypertension show that in these diagnoses is vasoconstriction in placental microcirculation quite common. Inadequate treatment may have adverse effects on uteroplacental flow with potential risks to the fetus. The treatment of choice in pregnancy relatedy hypertension are methyldopa, calcium antagonists and labetalol.
作者探讨了妊娠期高血压治疗的当代观点。文章强调,高血压治疗不仅应考虑母亲,还应考虑对胎儿供血可能产生的负面影响。新的信息,尤其是与妊娠相关高血压的病理生理学方面的信息表明,在这些诊断中,胎盘微循环中的血管收缩相当常见。治疗不足可能会对子宫胎盘血流产生不利影响,对胎儿有潜在风险。妊娠相关高血压的首选治疗药物是甲基多巴、钙拮抗剂和拉贝洛尔。