妊娠合并慢性高血压（Pregnancy associated with chronic hypertension）.docVIP

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妊娠合并慢性高血压（Pregnancy associated with chronic hypertension）.doc

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妊娠合并慢性高血压（Pregnancy associated with chronic hypertension）

妊娠合并慢性高血压（Pregnancy associated with chronic hypertension） 2012ACOG obstetrics clinical practice guideline: pregnancy associated with chronic hypertension Definition Pregnancy before pregnancy or 20 weeks before the emergence of high blood pressure, known as pregnancy associated with chronic hypertension. Hypertension is defined as a systolic pressure greater than or equal to 140mmHg, or a diastolic pressure greater than or equal to 90mmHg, or an increase in both systolic and diastolic blood pressure. Pregnancy hypertension is most often classified as mild (systolic 140-159mmHg or diastolic pressure 90-109mmHg) or severe (systolic pressure greater than or equal to 160mmHg, or diastolic pressure greater than or equal to 110mmHg). To diagnose high blood pressure, the following criteria should be met, that is, at least 4-6 hours intervals, at least 2 times above the measured blood pressure is higher than normal. Hypertension appeared in pre pregnancy, and antihypertensive treatment, diagnosis of chronic hypertension is relatively simple; however, for pre pregnancy and early pregnancy were not examined in late pregnancy hypertension patients with chronic hypertension complicating pregnancy and gestational hypertension or pre eclampsia, and it is difficult to identify. In order to clear diagnosis of hypertension, blood pressure measurement is the best time in the 12 weeks of pregnancy, because the normal blood pressure in this period decreased, and in 16-18 weeks of pregnancy dropped to the lowest point, but is likely to cover previously undiagnosed chronic hypertension. Therefore, only at the end of pregnancy hypertension may increase blood pressure significantly high. In this case, if hypertension persists until 12 weeks postpartum, it should be redefined as pregnancy associated with chronic hypertension. When measuring the blood pressure and everyone should use the appropriate size of the cuff, to ensure accurate readings. When measuring the blood pressure in patients