Nicoloso E, d'Ercole C, Cassel N, Azoulay P, Cravello L, Boubli L, Blanc B
HIA Sainte-Anne, Toulon, Naval.
Rev Fr Gynecol Obstet. 1994 Oct;89(10):476-88.
Pregnancy related hypertension is the primary cause of perinatal mortality and morbidity. Its incidence is of the order of 10%. Serious forms, which account for 10% of all cases of pre-eclamptic toxemia, remain a potential cause of maternal mortality and morbidity. Retroplacental hematoma, neurological problems dominated by eclampsia, coagulation disorders, Hellp syndrome, and hepatic, pulmonary, cardiac and renal problems are the essential complications of this pathology. They are described separately here, but are often associated. These potential complications require the careful evaluation of the severity of materno-fetal status. The management of these patients requires cooperation between the anesthetist/intensive care specialist, obstetrician and pediatrician. Such teamwork results in appropriate management for each individual patient. The various types of treatment are reviewed. Maternal and fetal mortality and morbidity could nevertheless be reduced by the early and careful management of high-risk patients, in particular by the prescription of low doses of aspirin and by careful clinical, ultrasound and velocimetric monitoring.
妊娠相关高血压是围产期死亡和发病的主要原因。其发病率约为10%。严重形式占所有先兆子痫病例的10%，仍然是孕产妇死亡和发病的潜在原因。胎盘后血肿、以子痫为主的神经问题、凝血障碍、Hellp综合征以及肝脏、肺部、心脏和肾脏问题是这种病理的主要并发症。它们在此分别描述，但往往相互关联。这些潜在并发症需要仔细评估母胎状况的严重程度。对这些患者的管理需要麻醉师/重症监护专家、产科医生和儿科医生之间的合作。这种团队合作可为每个患者带来适当的管理。文中回顾了各种治疗类型。然而，通过对高危患者的早期和仔细管理，特别是通过低剂量阿司匹林的处方以及仔细的临床、超声和血流速度监测，可降低孕产妇和胎儿的死亡率和发病率。
