国际妇产科学杂志

国际妇产科学杂志 ›› 2012, Vol. 39 ›› Issue (6): 542-544.

• 综述 • 上一篇    下一篇

不典型子痫前期-子痫

孟珍妮, 应 豪   

  1. 200040 上海,同济大学附属第一妇婴保健院产科
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2012-12-15 发布日期:2012-12-15
  • 通讯作者: 应 豪

Diagnosis and Management of Atypical Preeclampsia-eclampsia

MENG Zhen-ni，YING Hao   

  1. Shanghai First Maternity and Infant Hospital，Tongji University School of Medicine，Shanghai 200040，China
  • Received:1900-01-01 Revised:1900-01-01 Published:2012-12-15 Online:2012-12-15
  • Contact: YING Hao

PDF (PC)

4774

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。

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

Abstract: 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.

Key words: Pre-eclampsia, Eclampsia, Capillary leak syndrome, HELLP syndrome, Diagnosis, Therapy