Gallery E D
Department of Renal Medicine, Royal North Shore Hospital, St Leonards, New South Wales, Australia.
Drugs. 1995 Apr;49(4):555-62. doi: 10.2165/00003495-199549040-00006.
Hypertension is a common and potentially serious complication of human pregnancy. It can be a marker of underlying maternal disease processes aggravated by pregnancy, or it can be directly related to the pregnancy (pre-eclampsia). It is associated with increased risks of fetal growth retardation and, if severe, can cause both maternal and fetal problems. The risks to both mother and neonate can be reduced by appropriate supervision and therapy. Close monitoring of maternal and fetal welfare will help to determine the optimum time for delivery. Maternal hypertension should be controlled with agents considered to be well tolerated in pregnancy. Following the index pregnancy, all patients with early and/or severe hypertension should be investigated for an underlying cause. Provided that there is clinical resolution of acute pregnancy-related hypertension, investigations are usually postponed until at least 3 months following delivery.
高血压是人类妊娠常见且可能严重的并发症。它可能是妊娠加重的潜在母体疾病过程的标志，也可能与妊娠直接相关（子痫前期）。它与胎儿生长受限风险增加相关，严重时可导致母体和胎儿出现问题。通过适当的监测和治疗可降低对母亲和新生儿的风险。密切监测母体和胎儿健康状况有助于确定最佳分娩时间。母体高血压应使用在妊娠中耐受性良好的药物进行控制。在本次索引妊娠之后，所有患有早期和/或严重高血压的患者都应调查潜在病因。如果急性妊娠相关高血压的临床症状得到缓解，检查通常推迟至分娩后至少3个月进行。
