中国实用妇科与产科杂志

中国实用妇科与产科杂志

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双胎妊娠子痫前期预防和处理

  

  1. 中国医科大学附属盛京医院产科，辽宁 沈阳 110020
  • 出版日期:2021-05-02 发布日期:2021-05-14
  • 通讯作者: 乔宠
  • 基金资助:
    国家重点研发计划（2016YFC1000404）；国家自然科学基金面上项目（81370735，81771610）；盛京自由研究者基金（201706）；辽宁省特聘教授（2017）；沈阳市科技计划项目（20-205-4-004）

Prevention and management of preeclampsia in twin pregnancies.

  1. Department of Obstetrics and Gynecology，Shengjing Hospital of China Medical University，Shenyang，110020 China
  • Online:2021-05-02 Published:2021-05-14

摘要： 子痫前期（preeclamsia，PE）是妊娠期严重并发症，与母体及围产儿不良结局的发生有密切关系，是孕产妇严重并发症发生的主要原因。双胎妊娠并发子痫前期的发生率比单胎高3～4倍且双胎妊娠子痫前期发病更早，对孕产妇及围产儿造成的影响更大。文章根据双胎妊娠的临床特点，结合现有的妊娠期高血压疾病诊治指南及专家共识对双胎妊娠子痫前期预防和临床处理方案进行阐述。

关键词: 双胎妊娠, 子痫前期, 预防, 临床处理

Abstract: Preeclampsia（PE） is a severe complication of pregnancy，which is closely related to the occurrence of adverse maternal and perinatal outcomes，and is the main cause of severe complications in pregnant women. The incidence of preeclampsia in twin pregnancies is 3-4 times higher than that in singleton pregnancies；additionally，preeclampsia occurs earlier in twin pregnancies，which has a greater impact on pregnant women and perinatal infants. Based on the clinical characteristics of twin pregnancies，this paper reviews the prevention and clinical management of preeclampsia in twin pregnancies in combination with the published guidelines and expert consensus for diagnosis and treatment of hypertensive disorder complicating pregnancy（HDCP）.

Key words: twin pregnancy, preeclampsia, prevention, clinical management

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