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目的:为了提高围生儿和孕产妇的健康水平,研究防治重度妊娠期高血压疾病并发心衰的有效治疗措施。方法:对77例重度妊娠期高血压疾病并发心衰的临床治疗措施进行回顾性分析。结果:除2例胎儿孕周过小(<32周)新生儿死亡外,其余经积极治疗母婴均结局良好。结论:重度妊娠期高血压疾病并发心衰属高危妊娠,加强孕期检查与保健,及时发现重度妊娠期高血压疾病并发心衰的临床症状,在控制临床症状的基础上积极治疗原发病,慎用硫酸镁,强心、利尿、扩血管,减少并发症,适时终止妊娠。
Objective: In order to improve the health of perinatal and maternal health, to study the prevention and treatment of severe gestational hypertension complicated by heart failure effective treatment. Methods: Retrospective analysis of clinical treatment of 77 cases of severe pregnancy-induced hypertension with heart failure. Results: Except for 2 neonates who had a small gestational age (<32 weeks), all the remaining active treatment patients had good outcomes. Conclusion: Severe gestational hypertension complicated with heart failure is a high-risk pregnancy, to strengthen the inspection and health care during pregnancy, timely detection of severe pregnancy-induced hypertension with heart failure clinical symptoms, in the control of clinical symptoms based on the active treatment of primary disease, caution Magnesium sulfate, cardiac, diuretic, vasodilator, reduce complications, timely termination of pregnancy.