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中华产科急救电子杂志 ›› 2021, Vol. 10 ›› Issue (04) : 193 -196. doi: 10.3877/cma.j.issn.2095-3259.2021.04.001

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子痫前期的临床争议问题
张慧丽1, 陈敦金1,()   
  1. 1. 510150 广州医科大学附属第三医院产科 广州危重孕产妇救治中心 广东省产科重大疾病重点实验室
  • 收稿日期:2021-07-20 出版日期:2021-11-18
  • 通信作者: 陈敦金
  • 基金资助:
    科技部"十三五"重大专项(2016YFC1000405); 广东省医学科学技术研究基金项目(A2020079); 广州市卫生健康科技项目(20201A011095); 广州医科大学附属第三医院博士启动科研项目(2018B03)

Preeclampsia: what is the clinical controversy

Huili Zhang1, Dunjin Chen1()   

  • Received:2021-07-20 Published:2021-11-18
  • Corresponding author: Dunjin Chen
引用本文:

张慧丽, 陈敦金. 子痫前期的临床争议问题[J]. 中华产科急救电子杂志, 2021, 10(04): 193-196.

Huili Zhang, Dunjin Chen. Preeclampsia: what is the clinical controversy[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2021, 10(04): 193-196.

子痫前期是妊娠期严重并发症之一,全球每年约有7万例孕产妇、50万例围产儿死于该疾病,因此子痫前期一直是产科医师关注的热点和重点。由于产科临床指南受到地域、科研水平和研究进展的时限性的影响,发布的指南常常与新近研究发生碰撞而产生争议。本文就目前关于子痫前期临床指南诊断和预防方面最具争议性的三个问题进行讨论,三个问题分别是子痫前期的血压阈值设定、蛋白尿程度与子痫前期预后和预防性使用阿司匹林起始时间及剂量问题。

Preeclampsia is a sever common complication of pregnancy, and is responsible for about 70000 maternal deaths and 500000 neonatal deaths. Therefore, preeclampsia always captured eyes of obstetricians. Due to the limitations of regional, scientific research level and research progress, the published guidelines are often conflicted with recent studies. This article discusses three of the most controversial issues concerning the diagnosis and prevention of preeclampsia in the current clinical guidelines, which included the threshold of blood pressure, the relationship between degree of proteinuria and prognosis of preeclampsia, and the preventive treatment with aspirin.

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