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重症妊娠高血圧腎症における新たな降圧指針作成の可能性 : 胎児臍帯動脈血流速度波形からのアプローチ
http://hdl.handle.net/10098/7353
http://hdl.handle.net/10098/7353ce92c847-f4d8-444b-be2d-3f8f994ff7d4
名前 / ファイル | ライセンス | アクション |
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1igakubu14-1.pdf (3.4 MB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2013-03-26 | |||||
タイトル | ||||||
タイトル | 重症妊娠高血圧腎症における新たな降圧指針作成の可能性 : 胎児臍帯動脈血流速度波形からのアプローチ | |||||
タイトル | ||||||
言語 | en | |||||
タイトル | Fetal Umbilical Artery Doppler Velocimetry as a Possible Index of Antihypertensive Therapy in Severe Preeclampsia | |||||
言語 | ||||||
言語 | jpn | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 重症妊娠高血圧腎症 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 降圧治療 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | 胎児臍帯動脈血流速度波形 | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Fetal umbilical artery Doppler velocimetry | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Antihypertensive therapy | |||||
キーワード | ||||||
主題Scheme | Other | |||||
主題 | Severe preeclampsia | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
著者 |
上林, 大岳
× 上林, 大岳× 西島, 浩二× 打波, 郁子× 山本, 真× 佐藤, 久美子× 高橋, 仁× 折坂, 誠× 黒川, 哲司× 吉田, 好雄× KAMIBAYASHI, Daigaku× NISHIJIMA, Koji× UCHINAMI, Ikuko× YAMAMOTO, Makoto× SATO, Kumiko× TAKAHASHI, Jin× ORISAKA, Makoto× KUROKAWA, Tetsuji× YOSHIDA, Yoshio |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Although antihypertensive therapy is recommended for management of hypertension in pregnant women, the criteria for initiation and maintenance of treatment have not been established. We report a case involving a 38-year-old pregnant woman with severe hypertension and proteinuria who was referred to our facility at 23 weeks 0 days of gestation. Ultrasonographic monitoring of fetal well-being showed that fluctuations in the maternal blood pressure (BP) were rapidly reflected by the results of fetal umbilical artery Doppler velocimetry, e.g., the fetal diastolic umbilical artery flow normalized when the patient's BP decreased to 150/88 mmHg, but disappeared when the BP further decreased to 120/80 mmHg. Thus, the patient's hydralazine dose was adjusted according to fetal ultrasound findings. When the patient subsequently showed no response to hydralazine administration, which was reflected by the persistent absence of the diastolic component of umbilical artery flow in Doppler velocimetry, emergency Caesarean section was performed at 23 weeks 6 days of gestation, and both the mother and infant showed good clinical outcomes. Our case thus highlights the value of Doppler velocimetry in monitoring patient responsiveness to antihypertensive therapy. | |||||
書誌情報 |
福井大学医学部研究雑誌 巻 14, 号 1, p. 1-4, 発行日 2014-01 |
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出版者 | ||||||
出版者 | 福井大学医学部 | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 1348-8562 | |||||
書誌レコードID | ||||||
識別子タイプ | NCID | |||||
関連識別子 | TD00002838 |