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孕期低血压疾病作为胎儿危险的一个原因(作者译)

[Hypotensive disorders during pregnancy as a cause of fetal hazard (author's transl)].

作者信息

Künzel W

出版信息

Z Geburtshilfe Perinatol. 1981 Oct;185(5):249-53.

PMID:7198334
Abstract

Hypotension during pregnancy is correlated with a perinatal mortality of 5.08%. Premature birth and growth retardation of the fetus in patients with hypotension are also often seen. The cause of hypotension is most likely a redistribution of the maternal blood volume in distended areas of the venous system and a low blood volume per se. The approach for the treatment of hypotension and the improvement of fetal well being may be the application of compounds which prevent the dilation of the venous vessels. A second approach could be the application of Desoxy-corticosteron-trimethyl-acetat (DCTA) to improve the maternal blood volume by retention of potassium. Both has to be examined in well defined investigations.

摘要

孕期低血压与5.08%的围产期死亡率相关。低血压患者中胎儿早产和生长迟缓的情况也很常见。低血压的原因很可能是母体血容量在静脉系统扩张区域的重新分布以及血容量本身较低。治疗低血压和改善胎儿健康的方法可能是应用能防止静脉血管扩张的化合物。第二种方法可能是应用三甲基醋酸去氧皮质酮(DCTA),通过保留钾来增加母体血容量。这两种方法都必须在明确的研究中进行检验。

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