[妊娠并发血管-胎盘疾病后应进行哪些检查?]

Claire de Moreuil, Annabelle Remoué, Jordan Pozzi, Christophe Trémouilhac, François Anouilh, Karine Morcel, Pascale Marcorelles
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引用次数: 0

摘要

血管-胎盘疾病包括血管性胎盘功能障碍导致的妊娠并发症,即先兆子痫、HELLP 综合征、胎儿宫内发育迟缓(IUGR)、胎盘早剥和血管性死胎。如果出现严重的先兆子痫和妊娠 34 周前早产,则应进行抗磷脂综合征(APS)检查。除了检测 APS 外,胎盘的病理报告还可以确定胎盘血管灌注不良的一些解剖倾向,以及胎盘慢性炎症病变和纤维蛋白沉积过多。后两者与 IUGR 和复发性死胎有关,反映了母体免疫异常过程。产后两个月组织的内科和产科会诊结合了产后访视和血管-胎盘疾病原因评估,使患者能够了解未来妊娠的管理及其心血管健康状况。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Which workup should be performed after a pregnancy complicated with vasculo-placental disorder?]

Vasculo-placental disorders include pregnancy complications resulting from placental dysfunction of vascular origin, i.e. pre-eclampsia, HELLP syndrome, intrauterine growth retardation (IUGR), placental abruption and stillbirth of vascular origin. Pre-eclampsia should be investigated for antiphospholipid syndrome (APS) in case of severe pre-eclampsia and premature delivery before 34 weeks of gestation. In addition to testing for APS, pathological report of the placenta can identify some anatomical predispositions to placental vascular malperfusion, as well as chronic placental inflammatory lesions and excess fibrin deposits. The latter two are associated with IUGR and recurrent stillbirth, reflecting a dysimmune process of maternal origin. The internal medicine and obstetrics consultation, organized two months after delivery, combines the postnatal visit with an assessment of the causes of vasculo-placental disorders, and enables to inform patients about the management of future pregnancies and their cardiovascular health.

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