y Pre-eclampsia/Eclampsis

被引：18

作者：

Peracoli, Jose Carlos ^{[1
]}

Medeiros Borges, Vera Therezinha ^{[1
]}

Lopes Ramos, Jose Geraldo ^{[2
]}

Cavalli, Ricardo de Carvalho ^{[3
]}

de Almeida Martins Costa, Sergio Hofmeister ^{[2
]}

de Oliveira, Leandro Gustavo ^{[1
]}

Pereira de Souza, Francisco Lazaro ^{[4
]}

Korkes, Henri Augusto ^{[5
]}

Brum, Ione Rodrigues ^{[6
]}

Costa do Nascimento, Maria Laura ^{[7
]}

Correa Junior, Mario Dias ^{[8
]}

Sass, Nelson ^{[9
]}

Debs Diniz, Angelica Lemos ^{[10
]}

da Cunha Filho, Edson Viera ^{[11
]}

机构：

[1] Univ Estadual Paulista, Dept Gynecol & Obstet, Botucatu Med Sch, Ave Prof Mario Rubens Guimaraes Montenegro S-N, BR-18618687 Botucatu, SP, Brazil

[2] Univ Fed Rio Grande do Sul, Dept Gynecol & Obstet, Fac Med, Porto Alegre, RS, Brazil

[3] Univ Sao Paulo, Dept Gynecol & Obstet, Fac Med, Ribeirao Preto, SP, Brazil

[4] Ctr Univ Lusiada, Dept Tocoginecol, Santos, SP, Brazil

[5] Pontificia Univ Catolica Sao Paulo, Dept Obstet & Gynecol, Fac Med, Sao Paulo, SP, Brazil

[6] Univ Fed Amazonas, Dept Maternal & Child Hlth, Fac Med, Manaus, Amazonas, Brazil

[7] Univ Estadual Campinas, Dept Gynecol & Obstet, Fac Med Sci, Campinas, SP, Brazil

[8] Univ Fed Minas Gerais, Dept Gynecol & Obstet, Fac Med, Belo Horizonte, MG, Brazil

[9] Univ Fed Sao Paulo, Paulista Sch Med, Sao Paulo, SP, Brazil

[10] Univ Fed Uberlandia, Dept Obstet & Gynecol, Fac Med, Uberlandia, MG, Brazil

[11] Pontificia Univ Catolica Rio Grande do Sul, Gynecol & Obstet Training Ctr, Sch Med, Porto Alegre, RS, Brazil

来源：

REVISTA BRASILEIRA DE GINECOLOGIA E OBSTETRICIA | 2019年 / 41卷 / 05期

关键词：

gestation; hypertensive disorders; pre-eclampsia; eclampsia; PREECLAMPSIA; HYPERTENSION; PREGNANCY; PRETERM; RISK; MANAGEMENT; PATHOGENESIS; MORBIDITY; MORTALITY; DIAGNOSIS;

D O I：

10.1055/s-0039-1687859

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

Pre-eclampsia is a multifactorial and multisystemic disease specific to gestation. It is classically diagnosed by the presence of hypertension associated with proteinuria manifested in a previously normotensive pregnant woman after the 20th week of gestation. Pre-eclampsia is also considered in the absence of proteinuria if there is target organ damage. The present review takes a general approach focused on aspects of practical interest in the clinical and obstetric care of these women. Thus, it explores the still unknown etiology, current aspects of pathophysiology and of the diagnosis, the approach to disease prediction, its adverse outcomes and prevention. Management is based on general principles, on nonpharmacological and on pharmacological clinical treatment of severe or nonsevere situations with emphasis on the hypertensive crisis and eclampsia. Obstetric management is based on preeclampsia without or with signs of clinical and/or laboratory deterioration, stratification of gestational age in < 24 weeks, between 24 and less than 34 weeks, and >= 34 weeks of gestation, and guidance on route of delivery. An immediate puerperium approach and repercussions in the future life of pregnant women who develop preeclampsia is also presented.

引用

页码：318 / 332

页数：15