中国实用妇科与产科杂志

中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

存在母体基础疾病者预防子痫前期的临床重点

  

  1. 中国医学科学院 北京协和医学院 北京协和医院产科中心，北京 100730
  • 出版日期:2021-05-02 发布日期:2021-05-14
  • 通讯作者: 刘俊涛
  • 基金资助:
    首都卫生发展科研专项项目（首发2020-2-4015）；中国医学科学院医学与健康科技创新工程项目（2020-I2M-C&T-B-044）

Important clinical points in the prevention of preeclampsia in pregnant women with medical complications.

  • Online:2021-05-02 Published:2021-05-14

摘要： 合并基础疾病的孕妇，包括慢性高血压、糖尿病、系统性红斑狼疮、抗磷脂综合征、慢性肾病等，其子痫前期和不良妊娠结局的风险明显增高。除了考虑对部分高风险人群采用小剂量阿司匹林进行预防性治疗外，应多学科管理，重视基础疾病的评估和治疗，才能获得最佳的妊娠结局。

关键词: 子痫前期, 内科合并症, 预防, 多学科管理

Abstract: The women with medical complications such as chronic hypertension，diabetes，systemic lupus erythematosus，antiphospholipid syndrome and chronic kidney disease have a increased risk of preeclampsia and other adverse pregnancy outcomes. Patients with high risk of developing preeclampsia could receive low dose aspirin to prevent preeclampsia. The best pregnancy outcome can be achieved by performing multidisciplinary management and paying attention to the evaluation and treatment of basic diseases.

Key words: preeclampsia, medical complication, prevention, multidisciplinary management

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