切换至 "中华医学电子期刊资源库"

中华产科急救电子杂志 ›› 2018, Vol. 07 ›› Issue (02) : 81 -85. doi: 10.3877/cma.j.issn.2095-3259.2018.02.005

所属专题: 文献

专家论坛

妊娠期高血压危象的早期识别及应急救治策略
赵茵1   
  1. 1. 430030 武汉,华中科技大学同济医学院附属协和医院妇产科
  • 收稿日期:2018-01-02 出版日期:2018-05-18

Early identification and emergency treatment strategy of hypertensive crisis during pregnancy

Yin Zhao1   

  • Received:2018-01-02 Published:2018-05-18
引用本文:

赵茵. 妊娠期高血压危象的早期识别及应急救治策略[J]. 中华产科急救电子杂志, 2018, 07(02): 81-85.

Yin Zhao. Early identification and emergency treatment strategy of hypertensive crisis during pregnancy[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2018, 07(02): 81-85.

妊娠期高血压危象会导致孕产妇和胎婴儿严重并发症,如脑血管意外、肺水肿、心肌梗死、急性肾功能衰竭、子宫-胎盘血液灌流不足、胎盘早剥等,是围产期母婴发病及死亡的主要原因。早期识别、严密监测、及时诊断和处理可有效降低严重并发症发生,改善母婴预后。

Hypertension crisis during pregnancy can cause serious complications of pregnant women and fetus, such as cerebrovascular accident, pulmonary edema, myocardial infarction, acute renal failure, insufficient uterine placenta perfusion, placenta abruption, et al. Hypertension crisis during pregnancy is one of the main causes of maternal and infant morbidity and mortality in perinatal period. Early recognition, close monitoring and appropriate emergency treatment can effectively reduce the occurrence of serious complications and then improve the prognosis of mother and child.

[1]
Flanigan JS, Vitberg D. Hypertensive emergency and severe hypertension: what to treat, who to treat, and how to treat [J]. Med Clin North Am, 2006, 90(3): 439-451.
[2]
Chobanian AV, Bakris GL, Black HR, et al. The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 report [J]. JAMA, 2003,289(19): 2560-2572.
[3]
American College of Obstetricians and Gynecologists; Task Force on Hypertension in Pregnancy. Hypertension in pregnancy. Report of the American College of Obstetricians and Gynecologists′ Task Force on Hypertension in Pregnancy [J].Obstet Gynecol, 2013, 122(5): 1122-1131.
[4]
中华医学会妇产科学分会妊娠期高血压疾病学组. 妊娠期高血压疾病诊治指南(2015)[J].中华围产医学杂志,2016, 3: 161-169.
[5]
Committee on Obstetric Practice. Committee Opinion No. 692: Emergent Therapy for Acute-Onset, Severe Hypertension During Pregnancy and the Postpartum Period [J]. Obstet Gynecol, 2017,129(4): e90-e95.
[6]
Magee LA, Cham C, Waterman EJ, et al. Hydralazine for treatment of severe hypertension in pregnancy: meta-analysis [J]. BMJ, 2003, 327(7421): 955-960.
[7]
Berg CJ, Callaghan WM, Syverson C, et al. Pregnancy-related mortality in the United States, 1998 to 2005 [J]. Obstet Gynecol, 2010,116(6): 1302-1309.
[8]
Papadopoulos DP, Mourouzis I, Thomopoulos C, et al. Hypertension crisis [J]. Blood Press, 2010,19(6): 328-336.
[9]
Too GT, Hill JB. Hypertensive crisis during pregnancy and postpartum period [J]. Semin Perinatol, 2013, 37(4): 280-287.
[10]
American College of Obstetricians and Gynecologists′ Committee on Practice Bulletins—Obstetrics. Practice Bulletin No. 166: Thrombocytopenia in Pregnancy [J]. Obstet Gynecol, 2016, 128(3): e43-e53.
[11]
Martin JN Jr, Thigpen BD, Moore RC, et al. Stroke and severe preeclampsia and eclampsia: a paradigm shift focusing on systolic blood pressure [J]. Obstet Gynecol, 2005,105(2): 246-254.
[12]
Lindenstrom E, Boysen G, Nyboe J. Influence of systolic and diastolic blood pressure on stroke risk: a prospective observational study [J]. Am J Epidemiol, 1995, 142(12): 1279-1290.
[13]
Zeeman GG. Neurologic complications of pre-eclampsia [J]. Semin Perinatol, 2009, 33(3): 166-172.
[14]
Cuero MR, Varelas PN. Neurologic Complications in Pregnancy [J]. Crit Care Clin, 2016, 32(1): 43-59.
[15]
中华医学会妇产科学分会产科学组. 胎盘早剥的临床诊断与处理规范(第1版) [J]. 中华妇产科杂志,2012, 47 (12): 957-958.
[16]
Vadhera RB, Simon M. Hypertensive emergencies in pregnancy [J]. Clin Obstet Gynecol, 2014, 57(4): 797-805.
[17]
Duley L, Meher S, Jones L. Drugs for treatment of very high blood pressure during pregnancy [J]. Cochrane Database Syst Rev, 2013, (7): CD001449.
[18]
Rhoney D, Peacock WF. Intravenous therapy for hypertensive emergencies, part 1 [J]. Am J Health Syst Pharm, 2009, 66(15): 1343-1352.
[19]
Steve G, Gabbe JRN, Joe Leigh Simpson, et al. 产科学正常和异常妊娠. 郑勤田,杨慧霞,译. 北京:人民卫生出版社,2018: 670.
[20]
Matthys LA, Coppage KH, Lambers DS, et al. Delayed postpartum preeclampsia: an experience of 151 cases [J]. Am J Obstet Gynecol, 2004, 190(5): 1464-1466.
[21]
Yancey LM, Withers E, Bakes K, et al. Postpartum preeclampsia: emergency department presentation and management [J]. J Emerg Med, 2011, 40(4): 380-384.
[22]
Sibai BM. Etiology and management of postpartum hypertension-preeclampsia [J]. Am J Obstet Gynecol, 2012, 206(6): 470-475.
[1] 朱成美, 赵巧梅, 邓学东. 经阴道超声联合生理盐水灌注直肠子宫陷凹对腹膜型子宫内膜异位症的诊断价值[J]. 中华医学超声杂志(电子版), 2024, 21(01): 32-36.
[2] 何淳诺, 田志敏, 李焕玺, 吴昊越, 庄凯鹏, 周胜虎, 张浩强. 小儿发育性髋关节发育不良诊治的研究进展[J]. 中华关节外科杂志(电子版), 2024, 18(04): 497-504.
[3] 钟佩芝, 杜宇. 龋病诊断方法的研究进展[J]. 中华口腔医学研究杂志(电子版), 2024, 18(02): 73-79.
[4] 中华医学会肿瘤学分会早诊早治学组. 中国结直肠癌早诊早治专家共识(2023版)[J]. 中华普通外科学文献(电子版), 2024, 18(01): 1-13.
[5] 赵林娟, 吕婕, 王文胜, 马德茂, 侯涛. 超声引导下染色剂标记切缘的梭柱型和圆柱型保乳区段切除术的效果研究[J]. 中华普外科手术学杂志(电子版), 2024, 18(06): 634-637.
[6] 杜彦斌, 黄涛, 寇天阔, 石英. 双镜联合根治术与腹腔镜根治术在早期结肠癌患者中的应用效果[J]. 中华普外科手术学杂志(电子版), 2024, 18(03): 275-278.
[7] 李智铭, 郭晨明, 庄晓晨, 候雪琴, 高军喜. 早期乳腺癌超声造影定性及定量指标的对比研究[J]. 中华普外科手术学杂志(电子版), 2023, 17(06): 639-643.
[8] 赵静, 范晔, 游雅婷, 陈慧, 王静, 张静. 虚拟支气管镜导航联合径向超声支气管镜在周围型肺癌中的诊断意义[J]. 中华肺部疾病杂志(电子版), 2024, 17(04): 524-528.
[9] 徐泽林, 许银姬, 许俊浩, 陈新铭. 肺炎型肺腺癌5例误诊及文献复习[J]. 中华肺部疾病杂志(电子版), 2023, 16(06): 867-870.
[10] 高嘉营, 金发光. 肺癌自身抗体在肺癌诊断中的研究进展[J]. 中华肺部疾病杂志(电子版), 2023, 16(05): 739-741.
[11] 刘佳, 付丽, 杨月美. miR-138-5p调节HIF-1α/Notch1轴对滋养层细胞侵袭和血管生成的影响[J]. 中华细胞与干细胞杂志(电子版), 2023, 13(05): 277-287.
[12] 顾睿祈, 方洪生, 蔡国响. 循环肿瘤DNA检测在结直肠癌诊治中的应用与进展[J]. 中华结直肠疾病电子杂志, 2023, 12(06): 453-459.
[13] 鲁悦, 李伟, 庄宗, 王娟, 赵鹏来, 杭春华. 脑出血继发吉兰-巴雷综合征二例报道并文献复习[J]. 中华脑科疾病与康复杂志(电子版), 2024, 14(02): 120-123.
[14] 欧阳川, 朱巧珍, 欧阳林. 腰椎间盘退变的生物代谢特征及评价技术研究进展[J]. 中华诊断学电子杂志, 2024, 12(03): 206-211.
[15] 胡梦瑶, 宋怡沛, 龚良庚. 心肌应变成像在糖尿病心肌病评估中的研究进展[J]. 中华心脏与心律电子杂志, 2024, 12(01): 32-35.
阅读次数
全文


摘要