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原发性高血压是指无引起血压升高的其他疾病,而以高血压为主要症状者,必须除外继发性高血压方可诊断。据报道在已诊断本病者中,经肾活检仍有14%被证明为慢性肾炎,全部高血压病例中,可诊断为原发性高血压者占70～90%,按定义可能还有一些新的继发性高皿压待除外。本文就原发性高血压合并妊娠的病理演变及管理综述如下。一、原发性高血压合并妊娠的机理与预后原发性高血压合并妊娠的发生率因诊断标准不同而异,Chesley 报道如除外慢性肾炎和肾盂肾炎,慢性高血压合并妊娠占全部妊娠的3～4%,相当于妊娠期高血压的1/2,这是高危妊娠较集中医院的发生率。岗(?)大学统计1883例分娩中,除外合并肾脏病后有
Essential hypertension refers to other diseases that cause no increase in blood pressure, whereas those with hypertension as the main symptoms must be diagnosed except for secondary hypertension. It has been reported that 14% of those who have been diagnosed with this disease have been proven to have chronic nephritis by renal biopsy. Among all cases of hypertension, those diagnosed with essential hypertension account for 70-90%, and some may be defined by definition New secondary high pressure aside. This article summarizes the pathological evolution and management of essential hypertension complicated with pregnancy as follows. First, the mechanism and prognosis of primary hypertension complicated by pregnancy The incidence of primary hypertension complicated with pregnancy varies according to the diagnostic criteria, Chesley reported that except for chronic nephritis and pyelonephritis, chronic hypertension with pregnancy accounted for all of the pregnancy 3 ~ 4%, equivalent to 1/2 of gestational hypertension, which is the incidence of high-risk pregnancy more concentrated hospital. Post (?) University statistics 1883 cases of childbirth, except after the merger of kidney disease