妊娠期高血压疾病(hypertension in pregnancy,HIP)是妊娠与血压升高并存的一种疾病,可对孕产妇全身各器官产生不良影响,如可导致胎盘早剥、弥散性血管内凝血、心肝肾衰竭、肺水肿、高血压脑病,甚至死亡,亦可造成胎儿生长受限、羊水过少、早产、宫内窘迫、神经系统损伤,甚至死亡,为产科严重并发症之一,是孕产妇及围产儿高发病率及死亡率的主要原因。多普勒超声因具有无创、价格低廉等优点,广泛用于产前超声诊断,常规用于监测妊娠期并发症及评价围产儿结局。该文对多普勒超声检查在妊娠期高血压疾病中的应用研究进展进行综述。
Abstract
Hypertension in pregnancy (HIP) is a disease that pregnancy coexists with elevated blood pressure. It has adverse effects on all organs in pregnant and parturient women
resulting in complications such as placental abruption
disseminated intravascular coagulation
maternal heart
liver
renal failure
pulmonary edema
hypertensive encephalopathy and even death. Also
it may cause fetal growth restriction
oligohydramnios
premature delivery
fetal distress
nervous system injuries and even fetal death. It is one of the serious obstetric complications
and the main cause of high morbidity and mortality of pregnant women and perinatal infants. Doppler ultrasound is widely used in prenatal diagnosis because of non-invasion and low cost. It is routinely applied to monitor pregnancy complications and evaluate perinatal outcomes. The present paper reviews the application of Doppler ultrasound in hypertension in pregnancy.