Ditisheim A, Boulvain M, Irion O, Pechère-Bertschi A
Rev Med Suisse. 2015 Sep 9;11(485):1655-8.
Preeclampsia is a pregnancy-related syndrome, which still represents one of the major causes of maternal-fetal mortality and morbidity. Diagnosis can be made difficult due to the complexity of the disorder and its wide spectrum of clinical manifestations. In order to provide an efficient diagnostic tool to the clinician, medical societies regularly rethink the definition criteria. However, there are still clinical presentations of preeclampsia that escape the frame of the definition. The present review will address atypical forms of preeclampsia, such as preeclampsia without proteinuria, normotensive preeclampsia, preeclampsia before 20 weeks of gestation and post-partum preeclampsia.
子痫前期是一种与妊娠相关的综合征,仍然是孕产妇和胎儿死亡及发病的主要原因之一。由于该疾病的复杂性及其广泛的临床表现,诊断可能会变得困难。为了给临床医生提供一种有效的诊断工具,医学协会会定期重新审视定义标准。然而,仍有一些子痫前期的临床表现超出了定义范围。本综述将探讨子痫前期的非典型形式,如无蛋白尿的子痫前期、血压正常的子痫前期、妊娠20周前的子痫前期和产后子痫前期。