Any pregnancy complicated by hypertension must be considered to be at increased risk. Proper management dictates early diagnosis, liberal use of hospitalization, appropriate antihypertensive therapy, and timely intervention with consideration being given to maternal and fetal compromise if the pregnancy is allowed to continue. Unfortunately, the decision as to the proper timing for delivery is not always easily made, especially if the fetus is premature and there is an absence of compelling complications. Consequently, the liberal use of perinatal referral sources in these cases is both appropriate and indicated. Fortunately, the diligence and the care employed by the physician in dealing with these patients can be expected to be rewarded by a good outcome for both mother and infant.
任何并发高血压的妊娠都必须被视为风险增加。恰当的管理要求早期诊断、充分住院、适当的抗高血压治疗,以及如果允许继续妊娠则考虑母婴情况进行及时干预。不幸的是,关于合适分娩时机的决定并不总是容易做出,尤其是当胎儿早产且没有紧迫并发症时。因此,在这些情况下充分利用围产期转诊资源既合适又必要。幸运的是,医生在处理这些患者时所付出的勤勉和关怀有望为母婴带来良好的结局。