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] 赵之栋, 李众利. 骨关节炎早期诊治的研究进展[J]. 中华关节外科杂志(电子版), 2023, 17(05): 689-693.
[2] 程慧, 李妍雨, 张蓓, 成杰, 张艳玲. 微小RNA-195靶向趋化因子5抑制滋养细胞增殖、迁移和侵袭及其机制研究[J]. 中华妇幼临床医学杂志(电子版), 2022, 18(02): 165-174.
[3] 刘仕茜, 屈艺, 应俊杰, 母得志. 液体活检在新生儿脑损伤诊断及预后判断中的应用和展望[J]. 中华妇幼临床医学杂志(电子版), 2022, 18(02): 125-131.
[4] 邓茜茜, 徐婷婷, 詹泳池, 王晓东. 高迁移率族蛋白1在子痫前期母胎界面表达及其对巨噬细胞的作用[J]. 中华妇幼临床医学杂志(电子版), 2022, 18(01): 30-39.
[5] 张锦鑫, 沈括, 胡大海, 尹文. 脓毒症早期诊断和治疗进展[J]. 中华损伤与修复杂志(电子版), 2022, 17(01): 76-80.
[6] 贺雨, 王玉娟, 高蓉, 李晗, 胡长英, 杨俊玲. 新型生物标志物可溶性髓样细胞触发受体-1在重症肺炎早期诊断中的应用价值[J]. 中华实验和临床感染病杂志(电子版), 2022, 16(05): 307-312.
[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] 郭洋, 骆成玉, 张树琦, 魏常胜. 早期乳腺癌腔镜辅助保乳改良根治术并假体植入Ⅰ期成形近远期疗效及美容学评价[J]. 中华普外科手术学杂志(电子版), 2022, 16(02): 146-149.
[9] 郭强, 钟文文, 叶雷, 刘碧好, 马波, 尧冰, 瞿虎, 赖华健, 汪中扬, 邱剑光, 王德娟. 53例性别发育异常患者靶向二代测序结果分析及临床应用[J]. 中华腔镜泌尿外科杂志(电子版), 2021, 15(06): 520-525.
[10] 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.
[11] 任涛涛, 乔晞. 急性肾损伤早期生物标志物的研究进展[J]. 中华肾病研究电子杂志, 2023, 12(01): 32-38.
[12] 赵红亮, 崔炜. 1型心肾综合征的早期诊断及生物标志物研究进展[J]. 中华肾病研究电子杂志, 2022, 11(02): 109-113.
[13] 贺芳. 易栓症和子痫前期[J]. 中华产科急救电子杂志, 2023, 12(01): 6-11.
[14] 武建利, 张丽姿, 李玲, 单婷, 王晓燕, 卢瑛, 许君君, 沈霞, 佐合热古丽·赛麦提, 石纪红, 朱启英, 杜丽丽. 新疆不同民族妊娠期高血压疾病患者1162例临床分析[J]. 中华产科急救电子杂志, 2022, 11(03): 152-157.
[15] 谭锦莉, 林勇平, 徐韫健. 探讨叶酸受体阳性循环肿瘤细胞在肺癌患者早期诊断与预后评估中的作用[J]. 中华临床实验室管理电子杂志, 2022, 10(02): 101-106.
阅读次数
全文


摘要