Kalashnikov S A, Kul'terbaeva M A
Akush Ginekol (Mosk). 1993(6):18-22.
Maternal and fetal hemodynamics was examined by echocardiography and dopplerometry in 104 pregnant women with EPH [correction of OPH] gestosis of various severity and in 30 women with a normal course of pregnancy in the third trimester. A relationship between incidence and severity of the detected hemodynamic disorders and severity of gestosis clinical manifestations was revealed. Renal blood flow disorders were detected at earlier stages of EPH [correction of OPH] gestosis than deterioration of uteroplacental and fetoplacental hemodynamics. Central hemodynamics parameters were more stable. The detected changes in uteroplacental circulation were less liable to positive dynamic shifts under the effect of therapy than those in the fetoplacental component. Hence, dopplerometric parameters of hemodynamics may serve the criteria of therapy efficacy, and the critical condition of fetoplacental blood flow dictates the necessity of an urgent delivery.
采用超声心动图和多普勒测量法对104例患有不同严重程度的EPH[原词OPH有误，应为EPH]妊娠中毒症的孕妇以及30例孕晚期妊娠过程正常的孕妇进行母婴血流动力学检查。结果显示，所检测到的血流动力学障碍的发生率和严重程度与妊娠中毒症临床表现的严重程度之间存在关联。与子宫胎盘和胎儿胎盘血流动力学恶化相比，在EPH[原词OPH有误，应为EPH]妊娠中毒症的早期阶段就检测到了肾血流紊乱。中心血流动力学参数更稳定。与胎儿胎盘成分相比，在治疗作用下，所检测到的子宫胎盘循环变化不太容易出现正向动态变化。因此，血流动力学的多普勒测量参数可作为治疗效果的标准，胎儿胎盘血流的危急状况决定了紧急分娩的必要性。
