Medical Complications of Pregnancy妊娠期合并症Medical Complications of Pregnancy妊娠期合并症Objectives 目 的Objectives 目 的• Describe selected medical emergencies exclusive to pregnancy 描述仅在妊娠出现的医疗急症• Describe selected medical conditions that can cause serious complications in pregnancy 描述可能危及生命的妊娠合并症• Formulate a plan for diagnosis and treatment of these conditions 制定诊断及治疗的计划Conditions Exclusive to Pregnancy 仅在妊娠出现的症状Conditions Exclusive to Pregnancy 仅在妊娠出现的症状• Severe pre-eclampsia 严重子痫前期• Eclampsia 子痫• HELLP syndromeHELLP 综合征• Acute fatty liver of pregnancy (AFLP)妊娠期急性脂肪肝Conditions That Complicate Pregnancy 使妊娠复杂化的症状Conditions That Complicate Pregnancy 使妊娠复杂化的症状• Deep venous thrombosis (DVT) 深静脉血栓• Pulmonary embolism (PE) 肺栓塞• Disseminated intravascular coagulation (DIC) 弥漫性血管内凝血• Human immunodeficiency virus (HIV) i fiHIV 感染Hypertensive Disorders of Pregnancy妊娠相关高血压症Hypertensive Disorders of Pregnancy妊娠相关高血压症Pregnancy Induced Hypertension 妊高症PIH 无蛋白尿(no proteinuria)HELLP SyndromeHELLP 综合征Chronic Hypertension (Elevated BP prior to 20 weeks) 慢性高血压（妊娠前20 周血压升高）6-8% of all gestations妊娠的6-8%Preeclampsia 子痫前期(proteinuria +/- edema)蛋白尿水肿Eclampsia子痫Severe Preeclampsia严重子痫前期Pre-Eclampsia 子痫前期Pre-Eclampsia 子痫前期• Classic Triad: 经典三联征Hypertension (>140/90) 高血压Proteinuria (>1+ or >300 mg/24h) 蛋白尿Generalized edema (least reliable) 广泛性水肿• Hypertension and proteinuria must be present on two occasions >6 hr apart 高血压和蛋白尿需在至少间隔6 小时、二次以上• Rapid weight gain is supportive evidence 体重迅速增加支持诊断Diagnostic Criteria for Severe Preeclampsia严重先兆子痫的诊断标准Diagnostic Criteria for...
