藥學共筆
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gestational妊ㄖㄣˋ娠ㄔㄣˊ→labor生產

危險因子[]

  • 糖尿病
  • essential hypertension(本態性高血壓)

分類和治療學[]

gestational妊ㄖㄣˋ娠ㄔㄣˊ hypertension[]

(用methyldopa 250 mg 2~3 times daily,alternative: clonidinemethyldopa+hydralazine可用在慢性高血壓):hypertension without proteinuria and/or pathologic edema( BP > 140/90 mm Hg )

子癇前症子癇症[]

preeclampsia 子癇前症[]

(由low-dose 60mg/day Aspirin預防,對已發生的沒有用)

  • mild:hypertension accompanied by proteinuria and/or pathologic edema( proteinuria >300mg/24hr or 100 mg/dL in 2 random samples 6 hr apart and/or pathologic edema)
  • severe:hypertension accompanied by proteinuria and/or pathologic edema( proteinuria > 4g/24hr or persistent value of 2+ are present by dipstick, BP is 160/110 mm Hg , and/or server headache , visual disturbance , or epigastric pain is noted.

子癇症[]

(IV or IM MgSO4可以預防):development of generalized seizure in Pregnance-induced hypertension,無法以MgSO4治療的可以用IVdiazepam或是phenytoin治療。如果MgSO4中獨可以用Calcium gluconate解毒

treatment[]

重點[]

參考資料[]

section18/OB-GYM disorders

延伸學習[]

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