复旦大学附属妇产科医院：《妇产科学》课程教学资源（PPT课件讲稿）PIH、TORCH

Pregnancy Induced ypertension Prof. duan Tao M D Shanghai 1st Maternity and Infant Hospital ao ⊙ Ceded

Pregnancy Induced Hypertension Prof. Duan Tao,M.D. Shanghai 1st Maternity and Infant Hospital

Pregnancy Induced hypertension Definition 4 Toxemia t Gestosis t Preeclampsia- Eclampsia +Pregnancy Induced Hyperten YO EPH Syndrome ⊙ Ceded

Pregnancy Induced Hypertension Definition： Toxemia Gestosis Preeclampsia-Eclampsia Pregnancy Induced Hypertension EPH Syndrome

人 Theories about causes Still Unknown +Utero-placental ischemia 9+ Neuro-endocrino \ogr: PGr,/TXA +Immunology-hereditary Chronic DIc ⊙ Ceded

Theories about causes Still Unknown: Utero-placental ischemia: Neuro-endocrinology：PGI2/TXA2 Immunology-hereditary： Chronic DIC：

Theory +Primipaternity Robillard py. Eur j Obstet Gynecol Reprod Biol, 1999 8+Dekker: 392 multiparous PIH women 22-25% have new partners, 3. 4% in control group ⊙ Ceded

Theory Primipaternity: Robillard PY. Eur J Obstet Gynecol Reprod Biol, 1999. Dekker: 392 multiparous PIH women , 22-25% have new partners, 3.4% in control group

My Theory +Trigger off theory The open Shield in Chicago Lying -In Hospital ⊙ Ceded

My Theory Trigger off theory ： The open Shield in Chicago Lying –In Hospital

Diagnosis Hypertension of pregnancy BP≥140/90 mmHg alone or WITh mild oedema(after 20wks of gestation) ⊙ Ceded

Diagnosis Hypertension of pregnancy : BP  140 / 90 mmHg ALONE or WITH mild oedema (after 20wks of gestation)

Diagnosis American Way Preeclampsia I)Mild preeclampsia BP:2/90mmHg but <160/ 110mmHg Edema: mild Proteinuria: Trace/1+ ⊙ Ceded

Diagnosis American Way Preeclampsia I) Mild preeclampsia BP :  140/90mmHg, but <160/110mmHg, Edema: mild Proteinuria: Trace / 1+

Diagnosis 1) Severe preeclampsia BP:≥160/110mmH Edema: marked Proteinuria: 2+or more ⊙ Ceded

Diagnosis II) Severe preeclampsia BP : 160/110 mmHg Edema: marked Proteinuria: 2+ or more

Diagnosis With headache visual disturbances abdominal pain, oliguria, thrombocytopenia bilirubin, liver enzymes, creatinine foetal growth retardation, pulmonary oedema Eclampsia Severe preeclamsia with CONVULSTON ⊙ Ceded

Diagnosis With headache,visual disturbances, abdominal pain, oliguria, thrombocytopenia, bilirubin, liver enzymes, creatinine, foetal growth retardation, pulmonary oedema Eclampsia Severe preeclamsia with CONVULSION

Diagnosis Chinese way Mild preeclampsia BP:>140790mmHg but <150/100mmHg or with an elevation of 30/15 mmHg Edema: and/or Proteinuria: Trace ⊙ Ceded

Diagnosis Chinese way: Mild preeclampsia BP :  140/90mmHg, but <150/100mmHg, or with an elevation of 30/15 mmHg Edema: and/or Proteinuria: Trace