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不典型子痫前期-子痫 被引量:5

Diagnosis and Management of Atypical Preeclampsia-eclampsia
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摘要 子痫前期-子痫是一种妊娠期严重危及母胎安全的并发症,典型症状包括妊娠相关高血压和蛋白尿。近年来,循证医学的研究结果不断呈现对子痫前期-子痫诊治的新认识,国内外学者提出子痫前期-子痫就像许多其他症候群一样在医学上有许多不典型的临床表现。对于临床工作来说,及时准确的诊断和治疗对于改善母胎不良结局有极其重要的作用。总结多项研究及相关文献报道,对不典型子痫前期及子痫的临床表现、诊断及处理进行综述,以对在临床工作中潜在的非典型病例引起重视,及早处理,改善预后。 Preeclampsia-eclampsia is a serious pregnancy complication,endangering mother and fetus.The typical symptoms of preeclampsia includes hypertension and proteinuria.However,in recent years,studies suggest that preeclampsia-eclampsia is just like other syndromes with many atypical presentations.As a result,it is important that clinicians make timely and accurate diagnosis to prevent adverse maternal and fetal outcomes associated with these syndromes.The manifestation,diagnosis and treatment of the atypical preeclampsia-eclampsia will be discussed in this review.The object is to increase awareness of these atypical features of preeclampsia-eclampsia,and to improve early diagnosis and treatment of the patients with atypical features.
作者 孟珍妮 应豪
出处 《国际妇产科学杂志》 CAS 2012年第6期542-544,548,共4页 Journal of International Obstetrics and Gynecology
关键词 先兆子痫 子痫 毛细血管渗漏综合征 HELLP综合征 诊断 治疗 Pre-eclampsia Eclampsia Capillary leak syndrome HELLP syndrome Diagnosis Therapy
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  • 1Sibai BM. Diagnosis ,prevention ,and management of eclampsiaj J], Obstet Gynecol ,2005 , 105 (2) : 402-410.
  • 2Sibai BM, Stella CL. Diagnosis and management of atypical preeclampsia-eclampsia [J]. Am J Obstet Gynecol ,2009 ,200 (5 ) ; 48Lel-7.
  • 3Hauth JC ,Ewell MG,Levine RJ ,et al. Pregnancy outcomes in healthy nulliparas women who developed hypertension. Calcium for Preeclampsia Prevention Study Group [J]. Obstet Gynecol, 2000 , 95 (1 ) ; 24-28.
  • 4Magee LA, von Dadelszen P, Bohun CM, et al. Serious perinatal complications of non-proteinuric hypertension; an international, multicentre, retrospective cohort study [1 J. 1 Obstet Gynaecol Can, 2003,25(5) ;372-382.
  • 5Sibai BM. Diagnosis, controversies, and management of the syndrome of hemolysis, elevated liver enzymes, and low platelet count rn. Obstet Gynecol,2004, 103(5 Pt I) ;981-991.
  • 6ACOG Committee on Practice Bulletins-Obstetrics. ACOG practice bulletin. Diagnosis and management of preeclampsia and eclampsia. Number 33 ,January 2002 [J]. Obstet Gynecol ,2002,99 (1) :159-167.
  • 7Buchbinder A,Sibai BM,Caritis S,et al. Adverse perinatal outcomes are significantly higher in severe gestational hypertension than in mild preeclampsia [J]. Am 1 Obstet Gynecol ,2002 , 186 (1) :66-71.
  • 8Krzesinski P , Wierzbowski R, Gielerak G, et al. Impedance cardiography in the diagnosis of capillary leak syndrome caused by doxorubicin therapy in a patient with myeloma multiplex [J]. Cardiol J. 2010, 17( I): 88-91.
  • 9Martin IN Jr , Rose CH, Briery CM. Understanding and managing HELLP syndrome: the integral role of aggressive glucocorticoids for mother and child[J]. Am J Obstet Gynecol ,2006 , 195(4) :914-934.
  • 10Woudstra DM,Chandra S,Hofmeyr GI,et al. Corticosteroids for HELLP (hemolysis, elevated liver enzymes, low platelets) syndrome in pregnancy [1 J. Cochrane Database Syst Rev, 20 1 0,8 (9) CD008148.

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