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To xizhimen south street, xicheng district building to the British garden route

L airport line 1

Take the airport shuttle from the airport, the dongzhimen station transfer to metro line 2 to xizhimen direction and get off at xizhimen station, from C outbound, go straight to the east 100 meters on the right side to xizhimen south street, north to walk to the t-junction namely to the British garden 1 floor downstairs.

L airport line 2

From the capital airport take airport bus to xidan, get off at no.22, take a taxi to xizhimen south street English garden 1 floor.

L bus subway near:

106 bus GuanYuan: 107 road, express way

Bus: xizhimen south road 387, 44 road, inner ring 800, 816 road, inner ring 820, 845 road

Che zhuang: subway line two

Xizhimen subway: metro line 2

Buses and attempts: 107 road, 118 road, 701 road

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"Rare diseases" maternal how dangerous to have a child?

2016年01月20日

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"Rare diseases" maternal how dangerous to have a child?

 

08:36:05 January 20, 2016

Source: Beijing morning post

 

On January 11, a pregnant woman doctor died in Peking University third hospital of Chinese academy of sciences. After expert discussion and autopsy, founding the research in response to the deceased died due to ruptured aortic dissection. From the existing data, the maternal death reason, should be on the basis of chronic hypertension with severe preeclampsia, at the same time with aortic dissection rupture, direct cause of the death should be ruptured aortic dissection. This is what disease?

High incidence of hypertension during pregnancy

Chronic hypertension with severe preeclampsia is a kind of in gestational hypertension disease. Gestational hypertension disease, just as its name implies, it is of high blood pressure when she is pregnant, this is a group of disease, contains many kinds of diseases. The disease group, is the feature of high incidence of serious results. Many countries and regions, including China lead to the sorting of maternal death causes, gestational hypertension disease is in the top five.

Chronic hypertension with severe preeclampsia, pregnant women before pregnancy is already has hypertension disease, then the during pregnancy, high blood pressure disease progress further, to the extent of severe preeclampsia.

So women already have high blood pressure, can't pregnant? Of course not. Although increased risk, but in ideal when high blood pressure control, monitoring and intervention during pregnancy, can be pregnant. The pregnancy is a price, of course, need to take a risk, if you choose to pregnancy, is quite so chose the risk.

Severe preeclampsia viscera damage

What is a severe preeclampsia? According to the latest edition of the guidelines, diseases would have any symptoms of the following:

(1) blood pressure rising: systolic blood pressure or greater 160 mmHg and/or diastolic blood pressure 110 mmHg or higher;

(2) persistent headache, visual impairment or other central nervous system abnormalities;

(3) on persistent abdominal pain and hepatic subcapsular hematoma or liver rupture performance;

(4) abnormal liver enzymes: blood alanine aminotransferase (ALT) or aspartate aminotransferase (AST) levels.

(5) the renal damage: 2.0 g / 24 h urine protein >; 24 h urine oliguria (< 400 ml, or per hour urine 17 ml), serum creatinine > or < 106 mu mol/L; ;

(6) hypoalbuminemia with ascites and pleural effusion or pericardial effusion;

(7) blood system exceptions: the platelet count the persistent decline and lower than 100 x 109 / L; Hemolysis within microvessels (performance had anemia, jaundice, or blood lactate dehydrogenase (LDH) levels);

(8) heart function failure;

(9) pulmonary edema;

(10), fetal growth restriction or oligohydramnios, the fetal intrauterine, placental abruption, etc.

In simple terms, is high blood pressure disease involving the important viscera damage to other body at the same time, such as heart, liver, lung, kidney, nerve.

Aortic dissection fatality rate is high

Besides, aortic dissection. This disease and gestational hypertension disease is two independent disease, that is to say, in patients with gestational hypertension disease, not will appear aortic dissection; The risk factors of aortic dissection, such genetic diseases is more of marfan's syndrome. Another important point, the incidence of aortic dissection with the pregnancy is very low.

According to a 2015 British data, its incidence of 0.74/10 to 1.52/10 of 1.52/10 - don't say, I'm afraid even less than one over one hundred thousand. Is also 2015 statistics from 2003 to 2011 England, aortic dissection in-hospital mortality rate 7.2%, 42 days after discharge the fatality rate of 17.4%, the fatality rate of 17.4% in a year, up almost 40% more deadly. And interlayer fracture like the pregnant women, the fatality rate is higher, although there is no direct data, but the Dutch national artery dissection rupture mortality statistics, once is 0.74/10, combined incidence of see, although the statistical sample is different, but the high fatality rate is certain.