Hypertensive disorders of pregnancy clinical analysis of 161 cases of retinopathy.docVIP

 PAGE \* MERGEFORMAT 5 Hypertensive disorders of pregnancy clinical analysis of 161 cases of retinopathy Gestational hypertension (hereinafter referred to as PIH) is one of obstetric critical illness. In addition to the clinical manifestations of hypertension, proteinuria, body edema, the fundus changes is to understand the severity of pregnancy-induced hypertension is an important reference. Can reflect the severity of fundus examination and provide treatment basis. In our hospital from January 2005 to June 2007 a total of 161 patients admitted patients with pregnancy induced hypertension and its dynamic observation of fundus and comprehensive analysis of clinical manifestations ., the report is as follows. 1 Materials and Methods 1.1 General information: January 2005 to June 2007 this hospital obstetric hospital patients diagnosed 161 cases of pregnancy induced hypertension, diagnostic criteria based on Obstetrics and Gynecology (5th edition) [1] , patients with previous history of eye disease other than . 73 patients with mild preeclampsia (45%), moderate in 62 cases (39%), severe cases of 26 (16%). Aged 21 to 35 years; mean age (25 4) years, mean gestational age (37 3) weeks. 1.2 Methods 1.2.1 Fundus examination: dynamic observation of the fundus, check the time patients were hospitalized at day 1, the implementation of comprehensive treatment of obstetric (antispasmodic, sedative, antihypertensive, diuretic) after 3 d. Treatment of 1 to 2 weeks, after the termination of pregnancy or childbirth 3 d respectively. Check with a direct ophthalmoscope is generally in small pupil manner. 1.2.2 Fundus stage: period: arterial spasm, period: atherosclerosis of, period: retinopathy period. 2 Results 2.1 The incidence of pregnancy induced hypertension retinopathy 161 cases in 11 patients with normal eyes (7.1%), retinopathy of 150 cases (92.9%); of 42 patients (27.6%), of 68 cases (45.4%), of 40 cases (27.0%), which co