Strizhakov A N, Musaev Z M
Vestn Ross Akad Med Nauk. 1996(6):72-7.
Ninety-one patients with physiological pregnancy and gestosis were studied. This included examinations of maternal central hemodynamics and Doppler study of blood flow in the system of carotids, renal artery and its branches, uterine and umbilical arteries. The volumetric maternal central hemodynamic parameters were found to increase concurrently with a reduction in peripheral vascular resistance during physiological pregnancy, which is associated with the emergence and development of a fetoplacental complex. In gestosis, there are decreases in the volumetric maternal central hemodynamic parameters and increases in peripheral vascular resistance in all the vessels under study. Clear diagnostic criteria for predicting and diagnosing gestotic complications, such as preeclampsia and eclampsia, and fetoplacental failure in time have been defined. A contribution of echocardiographic and Doppler studies is shown in the evaluation of the severity of gestosis and the efficiency of the therapy used.
对91例生理妊娠和妊娠中毒症患者进行了研究。这包括对母体中心血流动力学的检查以及对颈动脉、肾动脉及其分支、子宫动脉和脐动脉系统血流的多普勒研究。发现生理妊娠期间母体中心血流动力学参数的容积增加，同时外周血管阻力降低，这与胎儿胎盘复合体的出现和发展有关。在妊娠中毒症中，所研究的所有血管中母体中心血流动力学参数的容积均降低，外周血管阻力增加。已经确定了及时预测和诊断妊娠中毒症并发症（如先兆子痫和子痫）以及胎儿胎盘功能不全的明确诊断标准。超声心动图和多普勒研究在评估妊娠中毒症的严重程度和所用治疗的效果方面显示出作用。
