慢性高血压与慢性肾炎均为血管受累疾患,合并妊娠时易并发妊高征,且发病较早,病情多严重,对母子影响均大,因此被认为系高危妊娠中严重病例。对此类患者应详问病情,细致检查,如病情允许继续妊娠,对母子应密切监护,妥善治疗,并适时终止妊娠,以改善母子预后。一、妊娠期对母子进行重点监护对孕妇监护:孕期定时产前检查,提前住院。注意血压、尿蛋白及体重增加情况,如舒张压不易控制或增高,24小时尿蛋白定量增加,体重每周增加多于 Chronic hypertension and chronic nephritis are vascular involvement disease, pregnancy complicated by pregnancy-induced hypertension syndrome, and the incidence of earlier, more serious condition, the impact of both mother and child are large, it is considered a high risk of serious cases of pregnancy. Such patients should be detailed condition, careful examination, such as the condition allows continued pregnancy, mother and child should be closely monitored, properly treated, and timely termination of pregnancy, in order to improve the prognosis of mother and child. First, the mother and child during pregnancy focus on custody of pregnant women: regular prenatal care during pregnancy, early hospitalization. Note that blood pressure, urinary protein and weight gain, such as difficult to control or increase diastolic blood pressure, 24-hour urine protein increased, the body weight increased more than a week