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目的:探讨妊娠合并急性左心衰的病因和防治措施,提高孕妇心衰的诊治水平。方法:选取2009年至7月至2012年12月在我院产科分娩并确诊为急性左心衰患者20例(观察组),并随机选取无心衰产妇30例(对照组),分析两组临床资料。结果:观察组原发病患病率高于对照组(P<0.05)。给予积极治疗原发病,同时行强心、利尿、扩血管、终止妊娠等综合治疗,其中19例抢救成功,1例死亡,考虑合并肺栓塞。两组无一例新生儿死亡。结论:早期控制原发病,做到早发现和早治疗,特别是剖宫产和及时终止妊娠等措施在纠正心衰中起到关键作用。
Objective: To investigate the etiology and prevention and treatment of acute left heart failure complicating pregnancy and to improve the diagnosis and treatment of heart failure in pregnant women. Methods: Twenty patients (observation group) with obstetric delivery and acute left heart failure diagnosed in our hospital from 2009 to July to December 2012 were selected and 30 pregnant women without heart failure (control group) were randomly selected. Two groups clinical information. Results: The prevalence of primary disease in observation group was higher than that in control group (P <0.05). To give active treatment of the primary disease, at the same time cardiac, diuretic, vasodilator, termination of pregnancy and other comprehensive treatment, of which 19 cases of successful rescue, 1 case of death, consider the combined pulmonary embolism. Neither child died in either group. Conclusion: Early control of primary disease, early detection and early treatment, especially cesarean section and timely termination of pregnancy and other measures play a key role in the correction of heart failure.