PIH "three times" performance

Pregnancy-induced hypertension, particularly severe pregnancy-induced hypertension, can often be a kidney dysfunction, placental abruption, intrauterine growth retardation, fetal distress and other complications of mother and infant.

1. Surnamed Gao Zheng mainly mild clinical manifestations of mildly elevated blood pressure, with mild proteinuria and (or) edema, this stage of sustainable few days to several weeks, or progressive development, or to deteriorate rapidly.

(1) Hypertension: pregnant women not Yunqian or 20 weeks ago, blood pressure (that is the basis of blood pressure) is not high, and after 20 weeks of pregnancy to blood pressure began to increase ≥ 18.7/12 kPa (140/90mmHg), or systolic blood pressure more than the original foundation Blood pressure 4 kPa (30mmHg), diastolic blood pressure more than the original base 2 kPa (150mmHg).

(2) proteinuria: proteinuria often appear slightly later than high blood pressure, the meagre amount, at the beginning, can not.

(3) edema: the first can be expressed as the unusual increase in body weight (hidden edema), the weekly 0.5 kg. If excessive body fluid, the result of the foreseeable edema. Edema and more from the ankle, gradually extended to small retreat, thigh, the perineum, abdomen, according to the Depression, said pitting edema. Ankle and calf marked pitting edema, the rest will not dissipated, as a "+"; extension of edema and thigh, "+ +" means that ;"+++" extension and genital edema and abdomen; " + + + "Means the whole body with edema or ascites.

2. PIH blood pressure more than mild to moderate pregnancy-induced hypertension, but not more than 21.3/14.6 kPa (160/110mmHg); urinary protein (+) indicates that within 24 hours in the urine of more than 0.5 g; without symptoms.

3. Severe pregnancy-induced hypertension condition for the further development. Blood pressure can be as high as 21.3/14.6 kPa (160/110mmHg) or higher; urine within 24 hours or more protein 5 g; can have different degrees of edema, and a series of symptoms appear. This phase can be divided into pre-eclampsia and eclampsia.

(1) pre-eclampsia: hypertension and proteinuria, and so on the basis of patients with headache, vertigo, nausea, stomach pain and vomiting and other symptoms. These symptoms that further deterioration of conditions, in particular the further development of intracranial lesions, indicates to be a twitch, it said pre-eclampsia.

(2) eclampsia: preeclampsia on the basis of a further convulsion attacks, or with a coma, known as eclampsia. A small number of cases of disease progress rapidly, but not obvious signs of preeclampsia in a sudden convulsion. Eclampsia seizures typical process for the first performance of the eyeball fixed, dilated pupils, Shunji first Niuxiang side, trismus, then mouth and facial muscle fibrillation, a few seconds after the development as the whole body and limbs, muscle stiffness, hold hands, arms Buckling quickly a strong tic. Twitch when apnea, looking bluish violet. Twitching about one minute sustained strength weakened, general muscle relaxation, then profound suction, a resumption of snoring and breathing. A convulsion before the attack and seizure, with loss of consciousness. The number and spacing small convulsion elderly, can be regained consciousness shortly after the seizure, convulsion frequent longer duration, often a deep coma. Convulsion in the course of various trauma-prone. Chun She bites such as, or even out of fracture, in a coma or vomiting can cause asphyxia aspiration pneumonia.

Eclampsia occurs in late pregnancy or labor, said pre-eclampsia; minorities occurred in the course of delivery, said production at eclampsia; individual occurred within 24 hours after childbirth, postpartum eclampsia said.

Pregnancy-induced hypertension, particularly severe pregnancy-induced hypertension, can often be a kidney dysfunction, placental abruption, intrauterine growth retardation, fetal distress and other complications of mother and infant.