[산부인과] PIH

목차

TERMINOLOGY
DIAGNOSIS
GESTATIONAL HYPERTENSION
PREECLAMPSIA
SEVERITY OF PREECLAMPSIA
ECLAMPSIA
PREECLAMPSIA SUPERIMPOSED UPON CHRONIC HYPERTENSION.
INCIDRNCE AND RISK FACTOR
PATHOLOGY
CARDIOVASCULAR CHANGES.
HEMODYNAMIC CHANGES
BLOOD VOLUME
HEMATOLOGICAL CHANGES.
COAGULATION
THROMBOCYTOPENIA
NEONATAL THROMBOCYTOPENIA
FRAGMENTATION HEMOLYSIS.
OTHER CLOTTING FACTORS
ENDOCRINE AND METABOLIC CHANGE
FLUID AND ELECTROLYTE CHANGES
KIDNEY
ANATOMICAL CHANGES
LIVER
HELLP SYNDROME
ANATOMICAL PATHOLOGY
NEUROIMAGING STUDIES
BLINDNESS
CEREBRAL EDEMA
CEREBRAL BLOOD FLOW
ELECTROENCEPHALOGRAPHY
UTEROPLACENTAL PERFUSION
DOPPLER VELOCIMETRY
HISTOLOGICAL CHANGES IN THE PLACENTAL BED
PATHOPHYSIOLOGY
INCREASED PRESSOR RESPONSES.
PROSTAGLANDINS
NITRIC OXIDE
ENDOTHELINS
VASCULAR ENDOTHELIAL GROWTH FACTOR
.
.
PREDICTION AND PREVENTION
MANAGEMENT

본문내용

TERMINOLOGY
*임신에 합병되는 고혈압성 질환은 감염, 출혈과 더불어 산모의 삼대 사망원인중 하나이다. (전체 임신의 3.7 percent ,1450 case의 maternal death중 18%) Pregnancy-induced hypertension은 진단에 단백뇨가 필요한 potential precursor to preeclampsia or eclampsia를 말한다.

DIAGNOSIS
① Gestational hypertension
② Preeclampsia.
③ Eclampsia.
④ Preeclampsia superimposed on chronic hypertension.
⑤ Chronic hypertension.

고혈압은 blood pressure 가 140/90 mm Hg 이상이며. Edema는 diagnostic criteria에 꼭 포함된 (정상 임신에서도 많이 나타나므로)


GESTATIONAL HYPERTENSION
1. blood pressure가 140/90 mm Hg 이상이면서 단배뇨는 발생하지 않음
2. transient hypertinsion 과 preeclampsia 는 발생하지 않은 상태임

참고자료

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