文档介绍：Pregnancy Induced Hypertension
Prof. Duan Tao,.
Shanghai 1st Maternity and Infant Hospital
Pregnancy Induced Hypertension
Definition:
Toxemia
Gestosis
Preeclampsia-Eclampsia
Pregnancy Induced Hypertension
EPH Syndrome
Theories about causes
Still Unknown:
Utero-placental ischemia:
Neuro-endocrinology:PGI2/TXA2
Immunology-hereditary:
Chronic DIC:
Theory
Primipaternity:
Robillard PY. Eur J Obstet Gynecol Reprod Biol, 1999.
Dekker: 392 multiparous PIH women , 22-25% have new partners, % in control group.
My Theory
Trigger off theory :
The open Shield in Chicago
Lying –In Hospital
Diagnosis
Hypertension of pregnancy :
BP 140 / 90 mmHg ALONE
or WITH mild oedema (after 20wks of gestation)
Diagnosis
American Way
Preeclampsia
I) Mild preeclampsia
BP : 140/90mmHg, but <160/110mmHg,
Edema: mild
Proteinuria: Trace / 1+
Diagnosis
II) Severe preeclampsia
BP : 160/110 mmHg
Edema: marked
Proteinuria: 2+ or more
Diagnosis
With headache,visual disturbances, abdominal pain, oliguria, thrombocytopenia, bilirubin, liver enzymes, creatinine, foetal growth retardation, pulmonary oedema
Eclampsia
Severe preeclamsia with CONVULSION
Diagnosis
Chinese way:
Mild preeclampsia
BP : 140/90mmHg, but <150/100mmHg,
or with an elevation of 30/15 mmHg
Edema: and/or
Proteinuria: Trace