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关爱妊娠期高血压疾病患者:要点总结。

Caring for Patients with Gestational Hypertensive Disorders: Essential Takeaways.

机构信息

National Institute of Medical Sciences and Nutrition Salvador Zubiran, Mexico City, Mexico.

Houston Methodist Hospital, Houston, Texas.

出版信息

Methodist Debakey Cardiovasc J. 2024 Mar 14;20(2):120-123. doi: 10.14797/mdcvj.1311. eCollection 2024.

DOI:10.14797/mdcvj.1311
Abstract

Hypertensive disorders in pregnancy (HDP) are a group of conditions-including chronic hypertension, gestational hypertension, preeclampsia with and without end-organ damage, and acute complications, which include HELLP (hemolysis, elevated liver enzymes, and low platelets) syndrome and eclampsia-that could lead to severely adverse outcomes for both mother and fetus. The incidence of HDP has increased, affecting one out of seven delivery hospitalizations. Physicians should be aware of HDP for early identification and proper treatment to improve patient outcomes.

摘要

妊娠高血压疾病(HDP)是一组病症,包括慢性高血压、妊娠期高血压、子痫前期伴或不伴器官损伤以及急性并发症,如溶血性贫血、肝酶升高和血小板减少症(HELLP)综合征和子痫,这些病症可能会对母婴双方造成严重的不良后果。HDP 的发病率有所增加,每七个分娩住院患者中就有一个受到影响。医生应该意识到 HDP 的存在,以便及早识别和进行适当的治疗,从而改善患者的结局。

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本文引用的文献

1
Hypertensive Disorders in Pregnancy and Mortality at Delivery Hospitalization - United States, 2017-2019.妊娠高血压疾病与分娩住院期间的死亡率 - 美国,2017-2019 年。
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Treatment for Mild Chronic Hypertension during Pregnancy.妊娠期轻度慢性高血压的治疗。
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Postpartum preeclampsia or eclampsia: defining its place and management among the hypertensive disorders of pregnancy.
产后子痫前期或子痫:在妊娠高血压疾病中确定其位置和管理。
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Hypertensive Disorders of Pregnancy.妊娠高血压疾病。
Cardiol Clin. 2021 Feb;39(1):77-90. doi: 10.1016/j.ccl.2020.09.005. Epub 2020 Nov 2.
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Prevention, Diagnosis, and Management of Hypertensive Disorders of Pregnancy: a Comparison of International Guidelines.妊娠高血压疾病的预防、诊断和管理:国际指南比较。
Curr Hypertens Rep. 2020 Aug 27;22(9):66. doi: 10.1007/s11906-020-01082-w.
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The International Federation of Gynecology and Obstetrics (FIGO) initiative on pre-eclampsia: A pragmatic guide for first-trimester screening and prevention.国际妇产科联盟(FIGO)子痫前期倡议:早孕期筛查和预防的实用指南。
Int J Gynaecol Obstet. 2019 May;145 Suppl 1(Suppl 1):1-33. doi: 10.1002/ijgo.12802.
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ACOG Practice Bulletin No. 203: Chronic Hypertension in Pregnancy.美国妇产科医师学会临床实践公告第 203 号:妊娠期慢性高血压。
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