Niesert S
Frauenklinik der Medizinischen Hochschule Hannover.
Geburtshilfe Frauenheilkd. 1996 Feb;56(2):93-6. doi: 10.1055/s-2007-1022249.
Preeclampsia, eclampsia and the HELLP syndrome are serious pregnancy complications associated with increased maternal and perinatal mortality and morbidity. The question of subsequent pregnancy outcome in these patients is of great importance for the patient and the obstetrician. The risk of recurrence of hypertensive complications during subsequent pregnancy is related to the time of the onset and the clinical signs of hypertension during the first pregnancy. Patients having hypertensive pregnancies should be examined for chronic hypertension, kidney disease and other internal diseases. The recurrence risk is for preeclampsia between 19.5% and 25.9% and for eclampsia between 21.9% and 46.8%. Patients developing the disease early in pregnancy and with chronic hypertension are at higher risk. For the HELLP syndrome the risk of recurrence is between 3% and 5%. These patients should be considered to be at increased risk for obstetric complications in subsequent pregnancies and close perinatal care is indicated in subsequent pregnancies.
子痫前期、子痫和HELLP综合征是严重的妊娠并发症，与孕产妇及围产儿死亡率和发病率增加相关。这些患者后续妊娠结局的问题对患者和产科医生都极为重要。后续妊娠期间高血压并发症复发的风险与首次妊娠时高血压的发病时间及临床体征有关。患有高血压妊娠的患者应检查是否患有慢性高血压、肾脏疾病和其他内科疾病。子痫前期的复发风险为19.5%至25.9%，子痫的复发风险为21.9%至46.8%。妊娠早期发病且患有慢性高血压的患者风险更高。HELLP综合征的复发风险为3%至5%。这些患者在后续妊娠中应被视为产科并发症风险增加，后续妊娠时需进行密切的围产期护理。
