ElFarra Jamil, Bean Cynthia, Martin James N
Department of Maternal Fetal Medicine, Winfred L. Wiser Hospital for Women and Infants, The University of Mississippi Medical Center, 2500 N State Street, Jackson, MS 30216, USA.
Department of Maternal Fetal Medicine, Winfred L. Wiser Hospital for Women and Infants, The University of Mississippi Medical Center, 2500 N State Street, Jackson, MS 30216, USA.
Obstet Gynecol Clin North Am. 2016 Dec;43(4):623-637. doi: 10.1016/j.ogc.2016.07.005. Epub 2016 Oct 14.
Hypertensive disorders of pregnancy are among the leading preventable contributors of maternal and fetal adverse outcomes, including maternal and fetal death. Blood pressure increase has a strong association with unfavorable pregnancy outcomes, including stroke and pulmonary edema. A persistent blood pressure measurement greater than or equal to 160/110 mm Hg lasting for more than 15 minutes, during pregnancy or postpartum, is considered an obstetric emergency and requires rapid appropriate treatment. Following evidence-based guidelines, implementing institutional polices, and understanding the classification and pathophysiology of hypertensive disorders of pregnancy are essential and can significantly improve the rate of preventable complications.
妊娠期高血压疾病是导致孕产妇和胎儿不良结局（包括孕产妇和胎儿死亡）的主要可预防因素之一。血压升高与不良妊娠结局密切相关，包括中风和肺水肿。在孕期或产后，持续血压测量值大于或等于160/110毫米汞柱且持续超过15分钟，被视为产科急症，需要迅速进行适当治疗。遵循循证指南、实施机构政策以及了解妊娠期高血压疾病的分类和病理生理学至关重要，并且可以显著提高可预防并发症的发生率。
