[Retinochoroidopathy and systemic state in toxemia of pregnancy].
[Retinochoroidopathy and systemic state in toxemia of pregnancy].
复制标题
视网膜脉络膜病变与妊娠毒血症的全身状态[J].
DOI：
--
复制
发表时间：
1991
期刊：
影响因子：
--
通讯作者：
A. Uemura
中科院分区：
文献类型：
--
作者：
M. Uto;A. Uemura
我们对74例妊娠毒血症患者的视网膜脉络膜并发症进行了回顾性研究。32例（43.2%）有明显的视网膜脉络膜病变；A组23例出现高血压视网膜病变视网膜出血及棉斑，B组9例出现广泛浆液性视网膜脱离伴脉络膜血管病变。两组在妊娠毒血症的严重程度、血液学检查和胎儿预后方面没有显著差异，尽管A组胎儿死亡率较高，而B组血小板计数明显下降，纤维蛋白原浓度较低，可能提示轻度慢性弥散性血管内凝血病。
We carried out a retrospective study of 74 patients with toxemia of pregnancy with reference to retinochoroidal complications. Thirty-two patients (43.2%) had overt retinochoroidal disease; 23 cases (group A) showed retinal hemorrhages and cotton-wool spots compatible with hypertensive retinopathy, while 9 cases (Group B) had widespread serous retinal detachment associated with choroidal vasculopathy. There was no significant difference between the two groups in the severity of toxemia of pregnancy, in the hematologic examinations or in the fetal prognosis, although Group A showed a higher rate of fetal mortality, and Group B had a more significantly decreased platelet count and lower concentration of fibrinogen that may indicate a mild form of chronic disseminated intravascular coagulopathy.