高血压英文ppt精品课件pregnancyinduced

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1、PregnancyInducedHypertensionDr.H.MansouriFRCSCanadaSignificance:Hypertensivediseaseinpregnancy:12-22%Preeclampsia:5-8%Chronichypertension:5%Directlyresponsiblefor17.6%ofmaternaldeathsintheUnitedStatesClassificationTheNationalHighBloodPressureEducationProgramWorki

2、ngGroup:gestationalhypertensionreplacePIHPreeclampsiaEclampsiaPreeclampsiasuperimposedonchronichypertensionChronichypertensionDefinitionsGestationalhypertension:BP≥140/90forfirsttimeduringpregnancyNoproteinuriaBPreturntonormal<12wpostpartumAfter20wPreeclampsiaBlo

3、odpressureof140mmHgsystolicorhigheror90mmHgdiastolicorhigherthatoccursafter20weeksofgestationinawomanwithpreviouslynormalbloodpressureProteinuria,definedasurinaryexcretionof0.3gproteinorhigherina24-hoururinespecimenEclampsiaEclampsiaisdefinedasthepresenceofnew-on

4、setgrandmalseizuresinawomanwithpreeclampsiaSuperimposedPETThediagnosticcriteriaforsuperimposedpreeclampsiainclude"new-onsetproteinuria"inawomanwithhypertensionbefore20weeksofgestation,asuddenincreaseinproteinuriaifalreadypresentinearlygestation,asuddenincreaseinh

5、ypertension,orthedevelopmentofHELLPsyndrome.Womenwithchronichypertensionwhodevelopheadache,scotomata,orepigastricpainalsomayhavesuperimposedpreeclampsia.ChronichypertensionCriteriaforDiagnosisofChronicHypertensioninPregnancyMild:     Systolicbloodpressure>=140mm

6、HgDiastolicbloodpressure>=90mmHgSevere:Systolicbloodpressure>=180mmHgDiastolicbloodpressure>=110mmHgUseofantihypertensivemedicationsbeforepregnancyOnsetofhypertensionbefore20thweekofgestationPersistenceofhypertensionbeyondtheusualpostpartumperiodSeverePETPreeclam

7、psiaisconsideredsevereifoneormoreofthefollowingcriteriaispresent:Bloodpressureof160mmHgsystolicorhigheror110mmHgdiastolicorhigherontwooccasionsatleast6hoursapartwhilethepatientisonbedrestProteinuriaof5gorhigherina24-hoururinespecimenor3+orgreaterontworandomurines

8、amplescollectedatleast4hoursapartOliguriaoflessthan500mLin24hoursCerebralorvisualdisturbancesPulmonaryedemaorcyanosisEpigastricorrightupper-quadrantpainImpaire