妊娠期期高血压疾病 中英版PPT课件.ppt

Gestational hypertension or pregnancy-induced hypertension (PIH) is defined as the development of new arterial hypertension in a pregnant woman after 20 weeks gestation without the presence of protein in the urine. Gestational hypertension is further divided into transient hypertension of pregnancy if preeclampsia is present at the time of delivery and the blood pressure is normal by 12 weeks postpartum, and chronic hypertension if the elevation in blood pressure persists beyond 12 weeks postpartum. This condition is often predictive of the later development of essential hypertension. transient ['tr?nzi?nt, -si-, -??nt, 'trɑ:n-] adj. 短暂的；路过的 n. 瞬变现象；过往旅客；候鸟 Preeclampsia is hypertension associated with proteinuria and edema, occurring primarily in nulliparas after the 20th gestational week and most frequently near term. Recent data support the elimination of edema as a diagnostic criterion. There are 2 categories of preeclampsia, mild and severe. mild preeclampsia is defined as the following: (1) HTN (BP≥140/90mmHg); (2) proteinuria exceeding 0.3 g in a 24-hour period or 1-2+ on dipstick testing;(3) Edema (hands or/and face) without other signs/symptoms preeclampsia[,pri?'kl?mpsi?] n. [妇产] 子痫前期；惊厥前期 nullipara [n?'l?p?r?]n. [妇产] 未产妇；从未生育过的人 Urine dipstick test尿液试纸检查 Read more: Preeclampsia - Hypertensive States of Pregnancy http://www.health.am/pregnancy/preeclampsia/#1#ixzz30zPQTH8I Severe preeclampsia is defined as the following: (1) blood pressure greater than 160 mm Hg systolic or 110 mm Hg diastolic on 2 occasions 6 hours apart; (2) proteinuria exceeding 2 g in a 24-hour period or 2-4+ on dipstick testing; (3) increased serum creatinine (> 1.2 mg/dL unless known to be elevated previously); (4) oliguria ≤500 mL/24 h; (5) cerebral or visual disturbances; (6) epigastric pain; (7) elevated liver enzymes; (8) thrombocytopenia (platelet count < 100,000/mm3); (9) retinal hemorrhages, exudates, or papilledema; and (10) pulmonary edema. creatinine [kr?'?t?ni?n] n. [