强化对子痫前期及HELLP综合征在产时产后的认知和管理

Enhancing cognition and management of postpartum preeclampsia and HELLP syndrome

子痫前期-子痫是严重影响母儿健康的疾病。风险因素的早排查、早预防、早诊断和早干预,是诊治子痫前期-子痫的重要措施。但是子痫前期产时产后的科学管理、产后HELLP综合征、产后迟发子痫前期-子痫的防治同样需要提高认识,及时准确的诊断和治疗,对于改善母胎不良结局意义重大。文章总结多项研究及指南,对子痫前期围产期与产后HELLP综合征及产后迟发子痫前期-子痫的诊治做一综述,便于在临床工作中引起重视、及早处理、改善预后。

Preeclampsia-eclampsia is a disease that seriously affects the health of mothers and children globally.Early screening of risk factors,early prevention,early diagnosis and early intervention are important measures for the treatment of preeclampsiaeclampsia.However,the scientific management of perinatal preeclampsia,and the prevention and treatment of postpartum HELLP syndrome and delayedonset postpartum preeclampsia-eclampsia also need to be paid more attention.Timely diagnosis and treatment are of great significance to improve maternal and fetal outcomes in clinical work.This article summarizes a number of studies and guidelines on the diagnosis and treatment of perinatal preeclampsia,postpartum HELLP syndrome and delayed-onset postpartum preeclampsia-eclampsia,in order to gain attention,perform early management and improve the prognosis in clinical practice.