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糖皮质激素治疗重度高血压孕妇以促进肺成熟

Glucocorticoid therapy for the induction of pulmonary maturity in severely hypertensive gravid women.

作者信息

Nochimson D J, Petrie R H

出版信息

Am J Obstet Gynecol. 1979 Feb 15;133(4):449-51.

PMID:581926
Abstract

Twenty hypertensive gravid women who had their pregnancies terminated for maternal indications because of the severity of pre-eclampsia or chronic hypertension were studied. They were treated at 27 to 33 weeks of gestation with 48 hours of betamethasone therapy prior to delivery. There was one antepartum fetal death, and it is believed that this death was preventable. There was an incidence of respiratory distress syndrome (RDS) of 23% with two neonatal deaths secondary to RDS, for a treated neonatal survival of 85.7%. All losses were from mothers with pre-eclampsia. Pregnancy-related hypertension is not thought to be an absolute contraindication to glucocorticoid therapy for the induction of pulmonary maturity.

摘要

对20名因重度子痫前期或慢性高血压而因母体指征终止妊娠的高血压孕妇进行了研究。她们在妊娠27至33周时,于分娩前接受了48小时的倍他米松治疗。有1例产前胎儿死亡,据信这一死亡是可以避免的。呼吸窘迫综合征(RDS)的发生率为23%,有2例新生儿因RDS死亡,治疗后的新生儿存活率为85.7%。所有死亡均发生在子痫前期的母亲中。妊娠相关高血压不被认为是糖皮质激素治疗诱导肺成熟的绝对禁忌证。

相似文献

1
Glucocorticoid therapy for the induction of pulmonary maturity in severely hypertensive gravid women.糖皮质激素治疗重度高血压孕妇以促进肺成熟
Am J Obstet Gynecol. 1979 Feb 15;133(4):449-51.
2
Immediate delivery versus expectant monitoring for hypertensive disorders of pregnancy between 34 and 37 weeks of gestation (HYPITAT-II): an open-label, randomised controlled trial.34 至 37 孕周妊娠高血压疾病的即刻分娩与期待治疗(HYPITAT-II):一项开放标签、随机对照试验。
Lancet. 2015 Jun 20;385(9986):2492-501. doi: 10.1016/S0140-6736(14)61998-X. Epub 2015 Mar 25.
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The use of betamethasone and timed delivery in management of premature rupture of the membranes in the preterm pregnancy.倍他米松的使用及适时分娩在早产胎膜早破管理中的应用
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[Prophylactic procedures to prevent respiratory distress syndrome in prematures (author's transl)].
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[Induction of fetal lung maturation using ambroxol and betamethasone. Results of an open multicenter study].
Geburtshilfe Frauenheilkd. 1987 Jan;47(1):19-25. doi: 10.1055/s-2008-1035766.
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Prevention of the respiratory distress syndrome (RDS) by antepartum glucocorticoid (betamethasone) therapy combined with phenobarbitone and ritodrine.
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[Prevention of respiratory distress syndrome with betamethasone. Preliminary communication].[倍他米松预防呼吸窘迫综合征。初步报告]
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Blood pressure response in hypertensive pregnancies treated with cortisol.
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引用本文的文献

1
Obstetrics and gynecology-epitomes of progress: use of glucocorticoids in promoting fetal lung maturation.妇产科学——进展缩影:糖皮质激素在促进胎儿肺成熟中的应用
West J Med. 1980 Mar;132(3):234.