子痫前期综合征分类分层分级管理——制胜临床实践之方向

来源 :中国实用妇科与产科杂志 | 被引量 : 0次 | 上传用户:yangmu2003
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1 概述rn子痫前期(preeclampsia,PE)是以高血压为基本表现的妊娠期疾病,严重威胁母儿健康和生命.至今,没有单一的发病机制和理论能解释所有PE的发病,也没有单一的预防方法能够预防所有的发病者,更没有理想的全方位预测手段预测所有PE的发病[1].更为痛心的是在临床上有一半以上PE相关的孕产妇死亡是可以预防或为可补偿的事件,而另一种情形是有一半PE发生在正常妊娠妇女中[2-3].PE能不能防以及如何防范值得深思和探索.时至今日,最起码单胎妊娠PE是可以预防的[4].如何将子痫前期消灭于萌芽、阻抑于发生发展中,是产科人面对子痫前期如何从被动走向主动的关键[5].还有一点不能忽视,当认识到PE为综合征时,在防范手段中如何避免“过度医疗”也是最该考虑的问题,这就有待于采用综合征的分解模式解析.
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