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目的探讨围生期急性心力衰竭的发病原因、早期诊断和预防措施。方法对27例围生期心力衰竭的临床资料进行回顾性分析。结果有20例(74.1%)患者产前发病,5例(18.5%)发生于产后;妊娠期高血压疾病重度子痫前期、双胎妊娠发病率较高,分别为59.2%、14.8%。结论围生期心力衰竭发病多有诱因,重视其早期临床表现及时诊断,治疗得当,可避免严重心力衰竭发生,保证母婴安全。
Objective To investigate the causes, early diagnosis and preventive measures of perinatal acute heart failure. Methods The clinical data of 27 cases of perinatal heart failure were retrospectively analyzed. Results 20 (74.1%) patients had prenatal onset and 5 (18.5%) occurred postpartum. The incidence of preeclampsia in gestational hypertension patients with severe preeclampsia was 59.2% and 14.8% respectively. Conclusions There are many causes of perinatal heart failure. It attaches importance to timely diagnosis of early clinical manifestations. Proper treatment can prevent severe heart failure and ensure the safety of mother and infant.