Общий алгоритм
Мероприятие
| Состояние
| Легкая преэклампсия
| Тяжелая преэклампсия
| Эклампсия
| Тактика
| обследование, тщательное наблюдение (возможно амбулаторно)
| активная
| Госпитализация
| для обследования
| обязательная госпитализация
в акушерское отделение
| Специфическая терапия
| —
| магнезиальная, гипотензивная
| Родоразрешение
| —
| в течение 24 ч (при ухудшении состояния плода или прогрессировании симптомов – экстренно)
| экстренно после стабилизации состояния
| | | | | |
Тяжесть преэклампсии
| Срок беременности (нед.)
|
|
|
| Преэклампсия легкой степени
| наблюдение
| возможно плановое родоразрешение
| Преэклампсия тяжелой степени
| родоразрешение с профилактикой РДС
| экстренное родоразрешение
| | | | | |
Список рекомендуемой литературы
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41. Приказ МЗ РФ от 24 января 2003 г. N 4 «О мерах по совершенствованию организации медицинской помощи больным с артериальной гипертонией в Российской Федерации»
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