Riss B, Riss P, Metka M
Z Geburtshilfe Perinatol. 1983 Nov-Dec;187(6):276-9.
We examined the ocular fundus in 100 unselected pregnant women with EPH-gestosis of different severity. In 52 women there were no retinal changes, in 32 women we saw I hypertensive changes according to the classification of Keith-Wagener, in 10 cases II, and in 6 cases III or IV retinal changes. There was no direct relationship between the severity of EPH-gestosis and I and II retinal changes; however, severe retinal changes (III IV) were associated with moderate or severe EPH-gestosis. We found a significant relationship between the degree of hypertensive retinal changes and fetal mortality. In the group of gravidae with severe retinal changes 4 out of 6 infants died. The examination of the ocular fundus permits the direct evaluation of fundal changes and the early recognition of fetal jeopardy.
我们检查了100名未经过挑选的、患有不同严重程度妊娠高血压综合征的孕妇的眼底。52名女性没有视网膜变化，32名女性根据基思 - 瓦格纳分类法有I级高血压变化，10例为II级，6例为III级或IV级视网膜变化。妊娠高血压综合征的严重程度与I级和II级视网膜变化之间没有直接关系；然而，严重的视网膜变化（III级和IV级）与中度或重度妊娠高血压综合征相关。我们发现高血压性视网膜变化程度与胎儿死亡率之间存在显著关系。在有严重视网膜变化的孕妇组中，6名婴儿中有4名死亡。眼底检查可以直接评估眼底变化并早期识别胎儿危险。
