Rogov V A, Tareeva I E, Zozulia O V, Miroshnichenko N G, Sidorova I I, Makarov I O, Zhuravlev A V, Beĭlin A L, Shipkova T I, Belitskaia S G
Ter Arkh. 1995;67(10):65-9.
A study was made of diagnostic significance (sensitivity and specificity) of early (precritical) signs of late gestosis (LG). A total of 179 females (187 pregnancies) with essential hypertension (EH) and chronic renal diseases (CRD) were examined. EH women are at high risk of LG when they have proteinuria above 0.3 g/s, of relative prognostic importance are severe hypertension and marked hyperuricemia. Severe hypertension, fetal growth inhibition, positive roll-over test may indicate LG in CRD. Primiparas with EH or CRD are especially at risk of LG. As all the above LG signs in its precritical stage are not specific and indicate only probability, they can be used primarily for screening of patients with high risk of LG onset. The diagnosis of LG in EH and CRD should be based on follow-up changes in the clinical and laboratory indices.
对晚期妊娠中毒症（LG）早期（临界前）体征的诊断意义（敏感性和特异性）进行了研究。共检查了179名患有原发性高血压（EH）和慢性肾病（CRD）的女性（187次妊娠）。当蛋白尿超过0.3g/s时，EH女性患LG的风险很高，严重高血压和明显高尿酸血症具有相对的预后重要性。严重高血压、胎儿生长受限、翻身试验阳性可能提示CRD患者患有LG。患有EH或CRD的初产妇尤其有患LG的风险。由于上述所有LG体征在临界前期都不具有特异性，仅提示可能性，因此它们主要可用于筛查LG发病风险高的患者。EH和CRD患者中LG的诊断应基于临床和实验室指标的随访变化。
