Hypertension in Pregnancy
Hypertension in Pregnancy
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DOI：
10.1016/j.ccl.2012.04.005
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发表时间：
2012-08-01
影响因子：
2.4
通讯作者：
Cho, Leslie S.
中科院分区：
文献类型：
--
作者：
Vest, Amanda R.;Cho, Leslie S.
妊娠期高血压的诊断标准为收缩压大于或等于140 mm Hg和/或舒张压大于或等于90 mm Hg。分类系统将慢性和妊娠期高血压与先兆子痫分开。关于最佳管理的重大不确定性反映在不同的主要国际社会建议中。血压治疗旨在最大限度地减少母体终末器官损伤。甲基多巴、拉贝洛尔、肼苯哒嗪和硝苯地平为口服选择;血管紧张素转换酶抑制剂和血管紧张素受体拮抗剂为禁忌。患有先兆子痫的妇女应密切监测，并接受静脉注射硫酸镁。
Hypertension in pregnancy is diagnosed on systolic blood pressure greater than or equal to 140 mm Hg and/or diastolic greater than or equal to 90 mm Hg. The classification systems separate chronic and gestational hypertension from preeclampsia. Significant uncertainty regarding optimal management is reflected in the differing major international society recommendations. Blood pressure treatment is designed to minimize maternal end-organ damage. Methyldopa, labetalol, hydralazine, and nifedipine are oral options; angiotensin-converting enzyme inhibitors and angiotensin receptor antagonists are contraindicated. Women with preeclampsia should be closely monitored and receive intravenous magnesium sulfate.