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ID:19728861
大小:669.00 KB
页数:53页
时间:2018-10-05
《妊娠高血压疾病陈晓军英文教学课件》由会员上传分享,免费在线阅读,更多相关内容在教育资源-天天文库。
1、HypertensionDisordersComplicatingPregnancy妊娠期高血压疾病HypertensiveDisorderscomplicatingPregnancyGestationalHypertensionPreeclampsiaPreeclampsiaSuperimposedonChronicHypertensionChronicHypertensionEclampsiaAGroupofRelatedDiseasesCharacteristicsSystemicsmal
2、larteriesspasmEndothelialcellinjuryHypertensionProteinuriaMultipleorgansdysfunctionConvulsionMaternalmortalityFetalmortalityGestationalHypertension;ChronichypertensionEclampsiaPreeclampsia;PreeclampsiaSuperimposedonChronicHypertensionHypertensiondiso
3、rderscomplicatingpregnancyPathophysiologyCategoryandclinicalmanifestationDiagnosisanddifferentialdiagnosisManagementandprevention病理生理临床表现诊断治疗EpidemiologyIncidence:6-9%Preeclampsia-eclampsia:70%ChronicHypertension:30%Eclampsia0.5%-1%China1.0%Overseas0
4、.5%ReflectionofmedicallevelThesecondcauseofmaternaldeath(20%)Causeofprematuredelivery(10%)UnknownoriginPathophysiologyBasicpathologicalchangesSpasmofsystemicsmallarteriesVascularendothelialcellinjuryPathophysiologyfluidproteinHypertensionEdemaProtein
5、uriaHemoconcentrationSmallarterialspasmEndothelialcellinjuryMultipleorgansdysfunctionIschemiaEdemamalfunctionSystemicDiseaseBrainHydrocephalusHyperemia/ischemiaThrombosiscerebralhemorrhagecerebralherniaheadachedazzlenauseavomitHypopsiaretinaldetachme
6、ntCorticalblindnessDysesthesiaConfusionofthinkingEclampsiaconvulsioncomabrain:Vasospasmpermeability↑kidneyrenalvasospasmrenalbloodflow↓glomerularfiltrationrate↓pathology:Glomerularexpansionswollenvascularendothelialcellcellulosedepositionrenocortical
7、necrosis——renalirreversibledamageclinicalmanifestation:albuminuriahypoproteinemiarenaldysfunctioncreatinineureanitrogenuricacidoliguriarenalfailureliverhepaticvasospasm;hepaticischemia;hepaticedemaliverenlargement;hepaticdysfunctionelevatedliverenzym
8、ejaundicehypoproteinemiacoagulationfunctionchangedsevere:PeriportalnecrosishepaticsubcapsularhematomahepatorrhexisHELLPsymdrome:ElevatedhepaticenzymesDecreasedbloodplateletCardiovascularSystemBloodPressure↑VasospasmVascularResistance↑CardiacLoad↑hear
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