妊娠前出血症 (PEE) とは,妊娠前出血症 (PEE) とは
Eric A P Steegers1, Peter von Dadelszen, Johannes J Duvekot
1Department of Obstetrics and Gynaecology, Division of Obstetrics and Prenatal Medicine, Erasmus MC, University Medical Centre Rotterdam, Rotterdam, Netherlands. e.a.p.steegers@erasmusmc.nl
Lancet (London, England)
|July 6, 2010
まとめ
妊娠中の合併症で高血圧とタンパク質尿を引き起こしている子宮前出血症は,母親と乳児にリスクをもたらします. 早期胎盤の問題は早期発症と関連しており,代謝的要因は遅発の先発性結核を誘発する可能性があります.
科学分野:
- 産婦人科と産婦人科を担当しています.
- 妊産婦・胎児医学について
- 心血管の健康について
背景:
- 妊娠前出血症は,妊産婦および胎児間死亡の主な原因である.
- 妊娠中に新たに発症した高血圧とタンパク質尿が特徴です.
- 病原産は様々で,早期発症は胎盤と関連しており,遅発症は心血管/代謝リスクと関連している.
研究 の 目的:
- 妊娠前出血症の病原性に関する理解を再検討する.
- 現在の管理戦略について議論する.
- 影響を受ける女性の長期的な健康への影響を強調する.
主な方法:
- 妊娠前出血症に関する文献レビュー.
- 異なる現象型に対する貢献要因の分析.
- 臨床管理と結果の要約.
主要な成果:
- 早期の胎盤不良は,早期発症の妊娠前出血症と関連しています.
- 心血管と代謝のリスクは,遅発のプレエクラムプシアの基礎となる可能性があります.
- 予防と予測は依然として困難です.
結論:
- 妊娠前出産は,妊娠前出産の唯一の治療法です.
- マネジメントは,母親の罹病率と死亡率を予防することに焦点を当てています.
- 前出血栓症は,将来の心血管疾患と代謝疾患のリスクの増加を示し,ライフスタイルの介入を必要とします.
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