产前性的病理生理学和怀孕结果-一个范围审查
Yavana Suriya Venkatesh1, Venkatesh Raju2, Koustav Pal3
1Department of Obstetrics and Gynaecology, All India Institute of Medical Sciences, Madurai, India.
在孕前症中,腹部液体或腹表示严重的疾病和增加的孕产妇风险. 应考虑在怀孕前与结合的情况下进行早期分娩,以改善结果.
科学领域:
- 产科和妇科 产科和妇科
- 孕产妇和胎儿医学 孕产妇和胎儿医学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 孕前是一种严重的妊娠并发症,其特点是高血压和器官损伤.
- (腹液积累) 是一种已知的并发症,可能会增加孕产妇的发病率和死亡率.
- 目前的孕前指南并没有完全解决炎作为严重性标志物或指导及时干预.
研究的目的:
- 审查病理生理学,怀孕结果,以及由瘤复杂的孕前的管理.
- 突出炎作为严重孕前的指标的重要性.
- 强调在这种情况下需要进行警监测和迅速交付.
主要方法:
- 在Medline和Embase数据库中进行系统的文献搜索,截至2023年12月.
- 包括关于病理生理学的研究,怀孕结果和产前症中的病例报告.
- 综合了来自5项病理生理学研究,8项结果研究和41份病例报告的发现.
主要成果:
- 在孕前症中,的原因是内皮损伤,毛细血管泄漏,血管收缩,上压力低,腹部压力增加.
- 这种情况与sFlt-1水平升高相关,意味着极端的微血管损伤.
- 不良后果包括充血性心力衰竭,黄昏症,功能衰竭,DIC,ARDS和孕产妇死亡.
结论:
- 孕产前的瘤表明疾病的严重形式具有显著的孕产妇风险.
- 警监测对于孕妇患有先兆子和炎的孕妇至关重要.
- 应强烈考虑及时分娩,以减轻严重的孕产妇并发症.
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