最后审阅: 28 六月 2021
最后更新: 18 二月 2020

小结

定义

病史和体格检查

关键诊断因素

  • >20 孕周
  • 收缩压 ≥140 mmHg 和/或舒张压 ≥90 mmHg,但先前血压正常
  • 头痛
  • 上腹痛

其他诊断因素

  • 胎动减少
  • 胎儿生长受限
  • 水肿
  • 视觉障碍
  • 惊厥
  • 呼吸困难
  • 少尿
  • 反射亢进和/或阵挛

危险因素

  • 初产
  • 既往妊娠发生子痫前期
  • 子痫前期家族史
  • 体重指数 (BMI) >30
  • 母体年龄 >40 岁
  • 多胎(双胎)妊娠
  • 低生育力
  • 妊娠期高血压
  • 已患糖尿病
  • 多囊卵巢综合征 (PCOS)
  • 自身免疫性疾病
  • 肾脏疾病
  • 已有心血管疾病和慢性高血压
  • 与既往妊娠间隔 ≥10 年
  • 高海拔居住

诊断性检查

首要检查

  • 尿液分析
  • 胎儿超声检查
  • 脐动脉多普勒测速
  • 羊水评估
  • 胎心监护
  • 全血细胞计数(FBC
  • 肝功能检查
  • 血清肌酐
  • 胎盘生长因子

治疗流程

急症处理
持续性治疗

撰稿人

作者

James J. Walker, MD, FRCPS (Glas), FRCP (Edin), FRCOG
James J. Walker

Professor

Academic Department of Obstetrics and Gynaecology

Leeds Teaching Hospitals Trust

Leeds

UK

利益声明

JJW is a Medical Director of Action on Preeclampsia (UK) (honorary). He has carried out previous consultancy work for SPI (Swiss Precision Instruments), paid, but not in the last 5 years. Expert witness in medico-legal cases both for plaintiff and defendant on various obstetric topics including pre-eclampsia. JJW has no current grants in the subject. He lectures on pre-eclampsia by invitation but not on behalf of companies. No current patents. Nil else.

Lara Morley, MRCOG, MBChB, BSc, PgCert

Clinical Research Training Fellow

Leeds Institute of Cardiovascular and Metabolic Medicine

University of Leeds

Leeds

UK

利益声明

LM declares that she has no competing interests.

同行评议者

Thomas R. Easterling, MD

Professor

Department of Obstetrics & Gynecology

University of Washington

Seattle

WA

利益声明

TRE declares that he has no competing interests.

Andrew Shennan, MBBS, MD FRCOG

Professor of Obstetrics

Maternal and Fetal Research Unit

St Thomas' Hospital

King's College London

London

UK

利益声明

Not disclosed.

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