問題詳情

28.一位39歲的初產婦,目前妊娠39週,懷孕過程中的血壓都介於100~120/60~70 mmHg之間。今天產檢時發現血壓150/100 mmHg,但並無合併頭痛,視覺模糊,噁心,嘔吐或腹痛的情形。這位產婦來到產房之後血壓再測量為160/90 mmHg,血比容(hematocrit)為34.0%,血小板數160,000/µL,肝功能指數GOT:22,GPT:15,尿液檢查並無蛋白尿情形,胎兒監視器並未發現胎兒窘迫的情況。這位產婦最可能符合下列那個診斷?
(A)子癎前症(preeclampsia)
(B)慢性高血壓(chronic hypertension)
(C)慢性高血壓合併子癎前症(chronic hypertension with superimposed)
(D)妊娠高血壓(gestational hypertension)

參考答案

答案:D
難度:適中0.65
統計:A(1),B(2),C(0),D(13),E(0)

用户評論

【用戶】霸氣阿宏

【年級】小二上

【評論內容】●Gestational hypertension is defined as the new onset of hypertension (defined as systolic blood pressure ≥140 mmHg and/or diastolic blood pressure ≥90 mmHg) after the 20th week of pregnancy in the absence of proteinuria or new signs of end-organ dysfunction. These criteria distinguish gestational hypertension from preeclampsia (proteinuria or signs of end-organ dysfunction must be present (table 1)) and chronic hypertension (hypertension antedates pregnancy or develops before the 20th week of pregnancy)...