论文部分内容阅读
目的分析围生期心肌病(PPCM)发病的危险因素,为制定防治策略提供依据。方法回顾分析新疆和田市人民医院内科2007年2月~2012年2月36例住院PPCM患者的临床资料,收集患者一般资料、临床表现、实验室检测等信息,进行PPCM发病危险因素分析,并探讨其预防措施。结果经产妇11例(占30.56%);合并妊娠高血压综合征(妊高征)20例(占55.56%),其中先兆子痫4例(占11.11%),产时子痫5例(占13.89%);营养不良12例(占33.33%)。住院18~35(32±3)d,均治愈出院,治疗6个月后X线检查心脏基本恢复正常。结论多产、营养不良、妊高征是PPCM的主要高危因素,临床医师应加强对高危患者的密切监护及合理干预,改善患者妊娠结局。
Objective To analyze the risk factors for the pathogenesis of perinatal cardiomyopathy (PPCM) and provide the basis for the prevention and treatment strategies. Methods The clinical data of 36 inpatients with PPCM admitted from January 2007 to February 2012 in Hetian City People’s Hospital were retrospectively analyzed. General information, clinical manifestations and laboratory tests were collected to analyze the risk factors of PPCM. Its preventive measures. Results Among the 11 cases (30.56%), 20 cases (55.56%) had pregnancy-induced hypertension syndrome (PIH), of which 4 cases (11.11%) had preeclampsia and 5 cases 13.89%); Malnutrition in 12 cases (33.33%). Hospitalized 18 ~ 35 (32 ± 3) d, were cured and discharged, after 6 months of treatment X-ray examination of the heart returned to normal. Conclusions Multi-productive, malnutrition and PIH are the main risk factors of PPCM. Clinicians should strengthen close monitoring and reasonable intervention for high-risk patients and improve their pregnancy outcomes.