Acute Pulmonary Oedema as a Complication of Hypertension During Pregnancy

被引:39
作者
Thornton, Charlene E. [1 ]
von Dadelszen, Peter [2 ]
Makris, Angela [3 ]
Tooher, Jane M. [4 ]
Ogle, Robert F. [4 ]
Hennessy, Annemarie [1 ]
机构
[1] Univ Western Sydney, Sch Med, Sydney, NSW, Australia
[2] Univ British Columbia, British Columbia Womens Hosp & Hlth Ctr, Maternal Fetal Med Unit, Vancouver, BC V5Z 1M9, Canada
[3] Univ Sydney, Heart Res Inst, Sydney, NSW 2006, Australia
[4] Royal Prince Alfred Women & Babies, Hypertens Disorders Pregnancy Unit, Sydney, NSW, Australia
关键词
Acute pulmonary oedema; Hypertension; Preeclampsia; COLLOID OSMOTIC-PRESSURE; SEVERE PREECLAMPSIA; WEEKS GESTATION; HELLP-SYNDROME; ONSET; RISK; MANAGEMENT; DISORDERS; ECLAMPSIA; OUTCOMES;
D O I
10.3109/10641950902972140
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Objective. To determine rates of and potential causative factors for acute pulmonary oedema (APO) in hypertensive women. Methods. Statistical analysis, including logistic regression, was applied to the individual patient data (IPD) of all hypertensive women who delivered in 2005 at two comparable units. Results. Of 880 cases analysed, there were no women with APO in unit one and 19 women in unit two. The women with APO received larger quantities of intravenous fluids, delivered at earlier gestations, via Caesarean section, following failed induction of labour and had a longer hospital stay. Conclusion. The development of APO in women with hypertension during pregnancy is associated with high levels of intravenous fluid administration.
引用
收藏
页码:169 / 179
页数:11
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