中国实用妇科与产科杂志

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强化对子痫前期及HELLP综合征在产时产后的认知和管理

  

  1. 华中科技大学同济医学院附属协和医院妇产科,湖北 武汉 430030
  • 出版日期:2021-05-02 发布日期:2021-05-14
  • 通讯作者: 邹丽
  • 基金资助:
    国家自然科学基金(81873844,82001584)

Enhancing cognition and management of postpartum preeclampsia and HELLP syndrome.

  1. Department of Obstetrics and Gynecology,Union Hospital, Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China
  • Online:2021-05-02 Published:2021-05-14

摘要: 子痫前期-子痫是严重影响母儿健康的疾病。风险因素的早排查、早预防、早诊断和早干预,是诊治子痫前期-子痫的重要措施。但是子痫前期产时产后的科学管理、产后HELLP综合征、产后迟发子痫前期-子痫的防治同样需要提高认识,及时准确的诊断和治疗,对于改善母胎不良结局意义重大。文章总结多项研究及指南,对子痫前期围产期与产后HELLP综合征及产后迟发子痫前期-子痫的诊治做一综述,便于在临床工作中引起重视、及早处理、改善预后。

关键词: 子痫前期, 产时产后管理, 产后HELLP综合征, 产后迟发子痫前期-子痫

Abstract: Preeclampsia-eclampsia is a disease that seriously affects the health of mothers and children globally. Early screening of risk factors,early prevention,early diagnosis and early intervention are important measures for the treatment of preeclampsia-eclampsia. However,the scientific management of perinatal preeclampsia,and the prevention and treatment of postpartum HELLP syndrome and delayed-onset postpartum preeclampsia-eclampsia also need to be paid more attention.Timely diagnosis and treatment are of great significance to improve maternal and fetal outcomes in clinical work.This article summarizes a number of studies and guidelines on the diagnosis and treatment of perinatal preeclampsia,postpartum HELLP syndrome and delayed-onset postpartum preeclampsia-eclampsia,in order to gain attention,perform early management and improve the prognosis in clinical practice.

Key words: preeclampsia perinatal management, postpartum HELLP syndrome, delayed-onset postpartum preeclampsia-eclampsia

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