Lippert T H
Geburtshilfe Frauenheilkd. 1979 Jun;39(6):470-8.
Since the causes of toxemia of pregnancy are unknown, therapy is still symptomatic and is now determined by the most recent knowledge of the pathophysiology of the disease. Rest, a balanced, predominantly protein-rich diet and avoidance of stress are recommended as prophylactic treatment of toxemia of pregnancy in patients with a predisposition of the condition. Early recognition of the symptoms of toxemia of pregnancy is of great importance. Treatment of mild cases consists of bed rest, possibly supplemented by sedatives and a preponderantly proteinrich diet. Administration of diuretics is obsolete and sodium restriction is no longer recommended. Antihypertensives are seldom indicated. Overweight women are no longer maintained on specially low calorie diets. Severe cases of toxemia of pregnancy must be trated as inpatients under intensive care. Principles of treatment are: 1. Prevention of seizures (by sedation). 2. Improvement of the general condition of the women (especially circulation and renal function). 3. Delivery at an opportune time for mother and child. Treatment of eclampsia follows largely the same principles. In these cases, immediate delivery is required regardless of the condition of the fetus.
由于妊娠中毒症的病因不明，治疗仍以对症治疗为主，目前是根据对该疾病病理生理学的最新认识来确定治疗方法。对于有该病症倾向的患者，建议休息、均衡饮食（以富含蛋白质为主）并避免压力，作为妊娠中毒症的预防性治疗措施。早期识别妊娠中毒症的症状非常重要。轻度病例的治疗包括卧床休息，可能辅以镇静剂和以富含蛋白质为主的饮食。利尿剂的使用已过时，不再建议限制钠的摄入。很少需要使用抗高血压药物。超重女性不再采用特别低热量的饮食。妊娠中毒症的严重病例必须作为重症监护下的住院患者进行治疗。治疗原则是：1. 预防惊厥（通过镇静）。2. 改善孕妇的一般状况（尤其是循环和肾功能）。3. 在对母婴合适的时机分娩。子痫的治疗原则大致相同。在这些情况下，无论胎儿状况如何，都需要立即分娩。
