醫學六:80題 ( 包括麻醉科,眼科,耳鼻喉科,婦產科,復健科等科目及其及相關臨床實例與醫學倫理 )題庫下載題庫

上一題
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)


答案:登入後觀看
難度: 簡單
1F
宏爺 國一上 (2018/03/24)

●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)...


查看完整內容

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/..-阿摩線上測驗