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子痫前期

Preeclampsia.

作者信息

Ramos José Geraldo Lopes, Sass Nelson, Costa Sérgio Hofmeister Martins

机构信息

Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil.

Universidade Federal de São Paulo, São Paulo, SP, Brazil.

出版信息

Rev Bras Ginecol Obstet. 2017 Sep;39(9):496-512. doi: 10.1055/s-0037-1604471. Epub 2017 Aug 9.

Abstract

The authors review hypertensive disease during pregnancy with an academic and practical view, and using the best evidence available. This disease, which is the most important clinical disease in Brazilian pregnant women, may have its incidence reduced with prevention through the use of calcium and aspirin in pregnant women at risk. Previously, it was a disease that presented with but it has now been classified with new clinical parameters besides proteinuria. Morbidity and mortality should be reduced in a continental country such as Brazil using protocols for the early treatment of complications by calculating severe outcomes in preeclampsia. The early treatment of acute hypertension, use of magnesium sulfate and early hospitalization in cases of preeclampsia are concepts to pursue the reduction of our pregnant women's mortality.

摘要

作者从学术和实践角度,运用现有最佳证据对妊娠期高血压疾病进行了综述。这种疾病是巴西孕妇最重要的临床疾病,通过对高危孕妇使用钙和阿司匹林进行预防,其发病率可能会降低。以前,它是一种以……为表现的疾病,但现在除蛋白尿外,还根据新的临床参数进行了分类。在像巴西这样的大陆国家,通过计算先兆子痫的严重后果,采用并发症早期治疗方案,发病率和死亡率应会降低。急性高血压的早期治疗、硫酸镁的使用以及先兆子痫病例的早期住院治疗,都是降低我国孕妇死亡率应追求的理念。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/95b6/10309474/4a4ca0a70867/10-1055-s-0037-1604471-i2704cne-1.jpg

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