Strizhakov A N, Musaev Z M
Akush Ginekol (Mosk). 1993(3):12-4.
A dynamic dopplerometry of the blood flow in the mother-placenta-fetus system, carried out in 79 women with EPH gestosis, revealed a direct correlation between uteroplacental and fetoplacental blood flow disturbances and gestosis, hypertension, edematous syndrome, and proteinuria severity. Comprehensive assessment of the blood flow in both uterine arteries and umbilical artery are preferable. When third-degree circulatory disturbances are revealed in the mother-placenta-fetus system, cesarean section is recommended. Comprehensive dopplerometric assessment of uterine and umbilical arteries blood flow may be regarded as an objective indicator of gestosis severity, whatever its clinical manifestations.
对79例患有妊娠高血压综合征的孕妇进行母-胎盘-胎儿系统血流的动态多普勒测定，结果显示子宫胎盘和胎儿胎盘血流紊乱与妊娠高血压综合征、高血压、水肿综合征及蛋白尿严重程度之间存在直接关联。对子宫动脉和脐动脉的血流进行综合评估更为可取。当在母-胎盘-胎儿系统中发现三级循环障碍时，建议进行剖宫产。无论妊娠高血压综合征的临床表现如何，对子宫和脐动脉血流进行综合多普勒评估都可被视为其严重程度的客观指标。
