妊娠期高血压疾病
Hypertensive Disorders of Pregnancy.
作者信息
Wilkerson R Gentry, Ogunbodede Adeolu C
机构信息
Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, Suite 200; 6th Floor, Baltimore, MD 21201, USA.
Department of Emergency Medicine, University of Maryland School of Medicine, 110 South Paca Street, Suite 200; 6th Floor, Baltimore, MD 21201, USA; Department of Internal Medicine, University of Maryland School of Medicine, 110 South Paca Street, Suite 200; 6th Floor, Baltimore, MD 21201, USA.
出版信息
Emerg Med Clin North Am. 2019 May;37(2):301-316. doi: 10.1016/j.emc.2019.01.008.
The 4 categories of hypertensive disorders of pregnancy are chronic hypertension, gestational hypertension, preeclampsia-eclampsia, and chronic hypertension with superimposed preeclampsia. These disorders are among the leading causes of maternal and fetal morbidity and mortality. Proper diagnosis in the emergency department is crucial in order to initiate appropriate treatment to reduce the potential harm to the mother and the fetus. Prompt management should be undertaken when the blood pressure is greater than 160/110 mm Hg or there are other severe features such as acute kidney injury, elevated liver function tests, severe abdominal pain, pulmonary edema, and central nervous system disturbances.
妊娠期高血压疾病的4种类型为慢性高血压、妊娠期高血压、子痫前期-子痫，以及慢性高血压并发子痫前期。这些疾病是孕产妇和胎儿发病及死亡的主要原因之一。在急诊科进行正确诊断对于启动适当治疗以减少对母亲和胎儿的潜在危害至关重要。当血压高于160/110 mmHg或出现其他严重特征，如急性肾损伤、肝功能检查结果升高、严重腹痛、肺水肿和中枢神经系统紊乱时，应立即进行处理。
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