Abstract: Early-onset preeclampsia has the feature of special gestational week at onset, and some cases progress very quickly and have severe complications, so multidisciplinary support is needed, including maternal support at critical condition, obstetrical clinic support and rescue of preterm neonates in severe cases. Therefore, the medical institutions of all levels must know whether they have the ability to deal with such cases before accepting the patients for treatment. The hospitals without the related support should contact and refer the patients to higher-level hospitals as soon as possible after initial management when the patients’condition is relatively stable, and give professional management during the referral. Nevertheless, for the preeclampsia cases which are not suitable for referral, the collaboration among different levels of hospitals and high-quality consultation are also involved.

Key words: early-onset preeclampsia, preterm birth, hypertensive crisis, eclampsia

摘要： 早发子痫前期因发病孕周特殊，部分病情进展急骤多变且并发症重，医疗需求多学科支持，包含母亲重症支持、产科临床及重症早产儿抢救。为此，一旦接受此类孕妇各级医疗单位均需评估并明确是否有接诊能力，如无相关支持需做好初步处置后在患者情况相对稳定情况下联系上级医院尽快转诊，并做好转诊途中专业处理。当然，如不适合转诊的早发子痫前期病例更涉及多级医院间的协作、高质量的会诊。

关键词: 早发子痫前期, 早产, 高血压危象, 子痫