Management strategies for hyperemesis.

Bottomley C; Bourne T

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Management strategies for hyperemesis.

机译：呕吐的管理策略。

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Nausea and vomiting occur in up to 80% of normal pregnancies. Hyperemesis gravidarum, resulting in dehydration and ketonuria, is a more severe, disabling and potentially life threatening condition affecting up to 1.5% of pregnancies. Treatment is supportive with intravenous rehydration, antiemetics and correction of vitamin deficiency to minimize complications. There are good safety data to support the use of antihistamines, phenothiazines and metoclopromide in hyperemesis gravidarum, though trials of efficacy are lacking and there is little evidence on which to chose the optimum therapy. This review discusses the diagnosis and management of hyperemesis gravidarum and the prevention, recognition and treatment of the serious complications of Wernicke encephalopathy, osmotic demyelination syndrome and thromboembolism.

机译：高达80％的正常妊娠中会出现恶心和呕吐。妊娠呕吐会导致脱水和酮尿症，是一种更为严重，致残并可能危及生命的疾病，影响高达1.5％的怀孕。静脉补液，止吐药和纠正维生素缺乏症以最小化并发症，为治疗提供支持。有很好的安全性数据支持抗组胺药，吩噻嗪类和甲氧氯普胺在妊娠剧吐中的使用，尽管缺乏疗效试验，而且几乎没有证据选择最佳疗法。这篇综述讨论了妊娠呕吐的诊断和管理以及韦尼克脑病，渗透性脱髓鞘综合征和血栓栓塞的严重并发症的预防，识别和治疗。

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《Best practice & research:Clinical obstetrics & gynaecology》 |2009年第4期|共16页
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Bottomley C; Bourne T;
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正文语种 eng
中图分类妇产科学;
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Management strategies for hyperemesis.

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