高血压英文ppt精品课件complications of pregnancy nonbleeding

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1、ComplicationsofPregnancyNon-bleedingComplicationsPre-termlabor28—37weeks(aftertheageofviabilityandbeforeterm)Causes:HypertensivediseasePlacentadisordersSTD’sCongenitalanomaliesSmokingUnknownTreatmentGoalsoftreatmentStopthecontractionsoflaborSlowthepr

2、ocessandprepareforbirthMedicationsused:YutoparMagnesiumSulfateThesemaybeeffectiveifcervixis<4cm’sHyperemesisGravidarumPersistent,excessivenauseaandvomitingProlongedperiodoftimesLeadingtodehydrationTREATMENT:-Bedrestwithlimitedvisitorsx24hours-NPOwithI

3、Vhydrationfor24hours-GraduallybeginoralfeedingsagainPregnancyInducedHypertensionAlsocalledPre-eclampsia/EclampsiaCharacteristicsymptomsHypertensionProteinuriaEdemawithrapidweightgainMulti-systemdisorderPrecipitatingfactorsDietarydeficiencies:lowprotei

4、nFirstpregnanciesinolderprimiparasOverthirtyMultiplepregnanciesPre-existingrenalorvasculardiseaseDiabetesCourseoftheDiseaseMildPreeclampsia:SuddenincreaseofB/P(>140/90,or^of30/15)on2occasionsatleast6hoursapartWeightgainwithedemainlowerextremitiesProte

5、inuria(mild)1+on2successivedaysCourseoftheDiseaseSeverePreeclampsiaB/P^^160/100(atrest)on2occasionsatleast6hoursapart.Oliguria---400ml/24hoursorlessProteinuriaorepronounced(3+)or5gramsin24hours.EclampsiaifvasospasmsworsensandB/P^damagetocerebralvessel

6、sandcerebraledema==seizureactivityMulti-systemsaffectsCNSleadingtoseizureactivityHeadachesVisualdisturbancesHyperreflexia/clonusAlteredLOCEclampsiaHematologiceffectsPlateletaggregation/intravascularclotting,damagetoRBC’s,consumptionofclottingfactorsAb

7、normalshapedand/ordamagedRBC’sIncreasedfibrinsplitproducts(FSP)ThrombocytopeniaDICHepaticeffectsCongestionfromfibrindeposits,ischemia,increasedhepaticpressure(portalhypertension)Nausea/vomitingEpigastricpain^^LiverenzymesLiverrupture(veryrare)Renaleff

8、ects:<