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[妊娠高血压:母婴血流动力学]

[Pregnancy-induced hypertension: maternal and fetal hemodynamics].

作者信息

Schneider K T

机构信息

Frauenklinik rechts der Isar der Technischen Universität München.

出版信息

Arch Gynecol Obstet. 1989;245(1-4):240-4. doi: 10.1007/BF02417259.

Abstract

With hypervolemia, hemoconcentration, high vascular resistance and hypertension the SIH offers opposite changes as the physiological pregnancy. The absence of a decrease in hematocrit and MAP is as yet not used as early screening possibility. Doppler flow measurements allow a detection of a fetal brain sparing effect which seems to be a typical answer to placental insufficiency. According to the till published results the hypervolemic hemodilution is of advantage for the mother and the fetus. With Doppler flow measurements we have a new method to verify therapeutic conceptions for the SIH.

摘要

对于血容量过多、血液浓缩、高血管阻力和高血压的妊娠高血压综合征(SIH),其呈现出与生理妊娠相反的变化。目前尚未将血细胞比容和平均动脉压(MAP)未降低作为早期筛查指标。多普勒血流测量可检测到胎儿脑保护效应,这似乎是对胎盘功能不全的典型反应。根据已发表的结果,高血容量性血液稀释对母亲和胎儿均有益。通过多普勒血流测量,我们有一种新方法来验证针对妊娠高血压综合征的治疗理念。

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