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[妊娠期高血压的各种形式与围产期胎儿状况]

[Various forms of hypertension in pregnancy and perinatal fetal condition].

作者信息

Flachowsky S

机构信息

Klinik und Poliklinik für Frauenheilkunde, Geburtshilfe des Universitätsklinikums Carl Gustav Carus de Technischen Universität Dresden.

出版信息

Z Geburtshilfe Perinatol. 1993 Nov-Dec;197(6):245-9.

PMID:8147042
Abstract

A prospective study analyses the course of pregnancy and the delivery of 315 women suffering from hypertension during their pregnancy. The perinatal state of the child is analysed as to the prevailing kind of hypertension. Gravidae suffering from gestation and chronical hypertensions, resp. (three forth of all kinds) delivered at birth term an eutrophic child. The proportion of spontaneous deliveries, acidosis morbidity, and of Apgar score was in correspondence with the average of all deliveries per annum without hypertension. The perinatal mortality among all kinds of hypertension was 1.6% caused only by children from gravidae suffering from preeclampsia and chronical nephropathy (corresponding to a quarter of all kinds). In comparison with gestation hypertension, chronical hypertension and the annual average of all deliveries, such gravidae prematurely delivered hypotrophic children of high acidosis morbidity and a worse Apgar score. Gravidae suffering from preeclampsia had an 80% abdominal delivery frequency. The prognosis of the child is made worse by appearance and severity of proteinuria.

摘要

一项前瞻性研究分析了315名妊娠期高血压女性的妊娠过程和分娩情况。根据主要的高血压类型分析了胎儿的围产期状况。患有妊娠期高血压和慢性高血压的孕妇,分别(占所有类型的四分之三)在足月分娩时产出营养良好的婴儿。自然分娩率、酸中毒发病率和阿氏评分与每年无高血压的所有分娩的平均水平相符。各类高血压中的围产期死亡率为1.6%,仅由患有先兆子痫和慢性肾病的孕妇所生的婴儿导致(占所有类型的四分之一)。与妊娠期高血压、慢性高血压以及所有分娩的年平均水平相比,这类孕妇早产的婴儿营养不足,酸中毒发病率高,阿氏评分更差。患有先兆子痫的孕妇剖宫产率为80%。蛋白尿的出现和严重程度会使胎儿的预后变差。

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