Chin J Obstet Emerg Electronic Edition November 2015 Vol. 4 No g /24 h / hypertensive disorders of pregnancy 0.

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1 Chin J Obstet EmergElectronic Edition November 2015Vol. 4No gestational hypertension mmhg1 mmhg = kpa mmhg mmhg 110 mmhg preeclampsia-eclampsia 1. preeclampsia mmhg 90 mmhg g /24 h / hypertensive disorders of pregnancy Ⅰ 1 - Ⅱ-1 Ⅱ-2 Ⅱ-3 - Ⅲ severe preeclampsia 2 A mmhg B C 110 mmhg2 D 3 E Ⅰ 4 ALT AST 5 > 2. 0 g /24 h 24 h < 400 ml < 17 ml > 106 μmol /L6 7 DOI /cma. j. issn zi_yang2005@ 126. com zhangwy9921@ hotmail. com /L LDH eclamgsia

2 Chin J Obstet EmergElectronic Edition November 2015Vol. 4No mmhg 90 mmhg chronic 2. hypertension with superimposed preeclampsia g /24 h CT MRI min 4 Ⅱ-2A mmhg 90 mmhg 140 /90mmHg 30 /15 mmhg 4 h mmhg 90 mmhg 160 mmhg 110 mmhg 1. Ⅱ-2B h g /24 h /

3 Chin J Obstet EmergElectronic Edition November 2015Vol. 4No ~ 10 mg 3 ~ 4 /d 24 h 60 mg 10 mg mg 1 ~ 2 /d ~ 60 mg 2. 5 ~ 5. 0 mg mmhg 20 ~ 40 mg 3 /d 110 mmhg 1 mg 140 mmhg 90 mmhg 5. α 10 ~ 20 mg 5% 100 ~ 200 ml 130 ~ 155 mmhg 10 μg /min 80 ~ 105 mmhg 130 ~ 139 mmhg 80 ~ mmhg 130 /80 mmhg - Ⅲ-B 5 ~ 10 μg /min 5 ~ ~ 50 μg /min MAP10% ~ 25% 24 ~ 48 h mg 4 h Ⅰ-A Ⅰ-A Ⅱ-B Ⅰ- Ⅰ-A Ⅱ-3B A Ⅰ-A 9 Ⅲ-B 10 Ⅰ-D Ⅱ-2D. ACEI Ⅱ ARB 10 Ⅱ- 2E ~ 150 mg 3 ~ 4 /d 220 mg 50 ~ 100 mg 5% 250 ~ 500 ml 2 ~ 3 /d 20 ~ 40 mg 5% 250 ml 360 mg 10 5% 500 ml 0. 5 ~ 0. 8 μg /kg min Ⅰ-A Ⅰ-C 1. 1 α β 4 ~ 6 g 10% 20 ml 15 ~ 20 min5% 100 ml 20 mg 10 min 1 ~ 2 g /h 80 mg 25%

4 Chin J Obstet EmergElectronic Edition November 2015Vol. 4No ml + 2% 2 ml 24 h 100 mg 50 mg3 25 ~ 30 gⅠ-a 2 1 /3 ~ 1 /2 5% 2. 5 ~ 5. 0 g 6 ~ 12 h 24 h 25 g ~ 48 h ~ 7 d ~ 3. 0 mmol /L 3. 5 mmol /L /min 3 25 ml /h 600 ml /d 410% 5 ~ 10 min 10% ml Ⅰ-A 5 mg 6 mg mg 1 2 d 2 < 34 Ⅱ-1B Ⅰ-E Ⅰ-D 37 Ⅰ-B Ⅲ-B ~ 5. 0 mg 2 ~ 3 /d 10 mg > 2 min mg 3 /d 24 Ⅰ-C > g mg 250 ml < ~ 34

5 Chin J Obstet EmergElectronic Edition November 2015Vol. 4No h 48 h Ⅰ-E HELLP DIC 24 ~ 48 h mmhg < /L ~ 48 h 48 h ~ 6 d 30 Ⅲ-B 150 /100 mmhg 3. Ⅱ-2B 21 ACEI ARB Ⅱ-2B 31 Ⅲ-B < Ⅲ-I 160/110 mmhgⅡ-2b 3 4 Ⅰ-A 5 Ⅱ-3D mmhg Ⅱ-2B 40 BMI 28 kg /m 2 Ⅲ-C mmhg 80 mmhg

6 Chin J Obstet EmergElectronic Edition November 2015Vol. 4No h 0. 3 g BMI ~ kg /m 2 < 80 cm 22 Ⅱ-2A Ⅰ-A < 600 mg /d 1 g /d 12 ~ ~ 100 mg Ⅲ-A μmol /L1. 2 mg /dl LDH 1. < /L < /L 1991 Martin 3 HELLP /L 40% ~ 60% > /L ~ /L 20% ~ 40% > /L ~ /L 6 12 Ⅱ-2B Ⅱ-2B Ⅱ-2C < 6 g /d HELLP HELLP 2. ALT 40 U/L AST 70 U/L 3. < /L 20% HELLP HELLP 2. LDH HELLP Ⅲ-I 3. HELLP Ⅰ-B

7 Chin J Obstet EmergElectronic Edition November 2015Vol. 4No. 4 HELLP HELLP 4. HELLP DIC PRES 1. 2 mg /dl HELLP HELLP Ⅲ-A Disorders of Pregnancy Working Group. Ⅲ-A 1. executive summaryj 2 4 1> /L Ⅱ-2D 2< /L Ⅲ-I 3< /L Ⅲ-I 4< /L Ⅲ-B Ⅲ-B 2. 1 Ⅱ-2C 2 Ⅲ-B 3 > /L Ⅲ-B 3. HELLP HELLP pregnancy J 1American College of Obstetricians and GynecologistsTask Force Hypertension in Pregnancy. Hypertension in pregnancy. on Report of the American College of Obstetricians and Gynecologists' Task Force on Hypertension in PregnancyJ. Obstet Gynecol Magee LAPels AHelewa Met al. Canadian Hypertensive Diagnosisevaluation and management of the hypertensive disorders of pregnancy. J Obstet Gynaecol Can Visintin CMugglestone MAAlmerie MQet al. Management of hypertensive disorders during pregnancy summary of NICE guidance J. BMJ c Lowe SABowyer LLust Ket al. The SOMANZ Guidelines for the Management of Hypertensive Disorders of Pregnancy 2014 J. Aust N Z J Obstet Gynaecol J Campos-Outcalt D Sr. US Preventive Services Task Forcethe gold standard of evidence-based preventionj. J Fam Pract 7Magee LAHdewa MMomquin JMet al. Diagnosis evaluationand management of the hypertensive disorders of. J Obstet Gynaeeol Can Suppl S Cote AMBrown MALaln Eet al. Diagnostic accuracy of urinary spot proteincreatinine ratio for proteinuria in hypertensive pregnant women systematic review J. BMJ HELLP preventing pre-eclampsia J 241 CD Churchill DBeevers GDMeher Set al. Diuretics for. Cochrane Database Syst Rev McCoy SBaldwin K. Pharmacotherapeutie options for the treatment of preeelampsia J. Am J Health Syst Pharm

8 Chin J Obstet EmergElectronic Edition November 2015Vol. 4No Duley LGülmezoglu AMChou D. Magnesium sulphate versus lytic cocktail for eclampsiaj. Cochrane Database Syst Rev CD Duley LHenderson-Smart DJChou D. Magnesium sulphate versus phenytoin for eclampsia J. Cochrane Database Syst Rev CD Duley LGülmezoglu AMHenderson-Smart DJet al. Magnesium sulphate and other anticonvulsants for women with preeclampsiaj. Cochrane Database Syst Rev CD Duley LHenderson-Smart DJ Walker GJ et al. Magnesium Nascimento SGomes RMatos Tet al. 237-POS Postpartum eclampsia-a late presentation to keep in mindj. Pregnancy Hypertens sulphate versus diazepam for eclampsiaj. Cochrane Database 27Magee Lvon Dadelszen P. Prevention and treatment of Syst Rev CD Ganzevonrt WRep ABonsel GJet al. A randomised controlled postpartum hypertension J. Cochrane Database Syst Rev CD trial comparing two tempofising management strategieswith and 28Al-Safi ZImudia ANFiletti LCet al. Delayed postpartum one without plasma volume expansion foronesevere and early onset pre-eclampsia J. BJOG Ho KMSheridan DJ. Meta-analysis of frusemide to prevent or treat acute renal failure J. BMJ preeclampsia and eclampsiademographicsclinical courseand complications J. Obstet Gynecol Bigelow CAPereira GAWarmsley Aet al. Risk factors for new-onset late postpartum preeclampsia in women without a history 17Ascarelli MHJohnson VMcCreary Het al. Postpartum of preeclampsia J. Am J Obstet Gynecol preeclampsia management with furosemidea randomized clinical trial J. Obstet Gynecol e Hirshfeld-Cytron JLam CKarumanchi SAet al. Late 18Bombrys AEBarton JRNowacki EAet al. Expectant postpartum eclampsiaexamples and reviewj. Obstet Gynecol management of severe preeclampsia at less than 27 weeks' Surv gestationmaternal and perinatal outcomes according to gestational age by weeks at onset of expectant management J. Am J Obstet Gynecol e Berlin CMBriggs GG. Drugs and chemicals in human milk J. Semin Fetal Neonatal Med Baxter JKWeinstein L. HELLP syndromethe state of the art 19. J. Obstet Gynecol Surv J ACOG Committee on Obstetric Practice. ACOG Committee Opinion 33Martin JN JrBlake PGPerry KG Jret al. The natural history of HELLP syndromepatterns of disease progression and regression No. 475antenatal corticosteroid therapy for fetalmaturationj. Obstet Gynecol Pt Koopmans CMBijlenga DGroen Het al. Induction of labour versus expectant monitoring for gestational hypertension or mild preeclampsia after 36 weeks' gestation HYPITAT a multicentre open-label randomised controlled trialj. Lancet Sezik MOzkaya OSezik HTet al. Expectant management of severe preeclampsia presenting before 25 weeks ofgestationj. Med Sci Monit Belghiti JKayem GTsatsaris Vet al. Benefits and risks of expectant management of severe preeclampsia at less than 26 weeks gestationthe impact of gestational age and severe fetal growth restriction J. Am J Obstet Gynecol e Alanis MCRobinson CJHulsey TCet al. Early-onset severe preeclampsiainduction of labor vs elective cesarean delivery and neonatal outcomesj. Am J Obstet Gynecol e Kim LHCheng YWDelaney Set al. Is preeclampsia associated with an increased risk of cesarean delivery if labor is induced J. J Matern Fetal Neonatal Med J. Am J Obstet Gynecol Pt Martin JN JrRinehart BKMay WLet al. The spectrum of severe preeclampsiacomparative analysis by HELLP hemolysis elevated liver enzyme levelsand low platelet count syndrome classification J. Am J Obstet Gynecol Pt Vigil-De Gracia PSilva SMontufar Cet al. Anesthesia in pregnant women with HELLP syndrome J. Int J Gynaecol Obstet van Veen JJNokes TJMakris M. The risk of spinal haematoma following neuraxial anaesthesia or lumbar puncture in thrombocytopenic individuals J. Br J Haematol J /CD

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