论文部分内容阅读
妊娠期高血压常继发于慢性高血压和/或先兆子痫、一旦舒张压持续超过14.7kPa时,即有指征采用抗高血压的治疗措施。至于收缩压高过多少时需要给予紧急治疗,并不十分统一,多数作者认为是22.7～24.0kPa。紧急抗高血压治疗的目的是为了使严重的高血压降到中度或轻度的高血压水平,并不是降到正常血压。如突然降至正常血压,反而可能引起子宫胎盘灌注减少和胎儿宫内窘迫。舒张压应仅降到14.0～12.0kPa水平。在治疗妊娠期严重高血压选择药物时,母儿的安全性和有效性是重要因素。
Hypertensive pregnancy often occurs in chronic hypertension and / or preeclampsia. Once diastolic pressure persists above 14.7 kPa, antihypertensive treatment is indicated. As for the systolic blood pressure is too high need to give emergency treatment, not very uniform, most authors think is 22.7 ~ 24.0kPa. The purpose of emergency antihypertensive treatment is to reduce severe hypertension to moderate or mild hypertension, not to normal blood pressure. If suddenly reduced to normal blood pressure, but may lead to reduced uterine placental perfusion and fetal distress. Diastolic blood pressure should only drop to 14.0 ~ 12.0kPa level. The safety and efficacy of maternal and child health are important factors in the treatment of severe hypertension during pregnancy.