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目的:探讨妊娠期高血压合并急性左心衰竭的临床治疗方法及效果。方法:随机选取2010年2月至2013年3月在惠州市第二妇幼保健院确诊为妊娠期高血压合并急性左心衰竭的30例,在常规药物的基础上选取传统药物硝酸甘油以及血管扩张药硝普钠治疗,比较分析治疗前后病患生命体征及B型脑钠钛(BNP)、超声心动图的变化。结果:经过治疗后,患者的生命体征显著加强,BNP下降,左心室舒张末直径明显改善,治疗前后各项指标均具有显著性差异(P<0.05)。结论:孕妇在妊娠期容易患高血压疾病合并急性左心衰竭,及早治疗可以避免疾病恶化,降低致死率和伤残率,保障母婴安全。
Objective: To investigate the clinical treatment of hypertensive pregnancy complicated with acute left heart failure and its clinical effects. Methods: From February 2010 to March 2013, 30 cases of hypertensive pregnancy complicating acute left heart failure were diagnosed in the Second Maternal and Child Health Care Hospital of Huizhou City from February 2010 to March 2013. Traditional drugs such as nitroglycerin and vasodilation were selected on the basis of conventional drugs Drug sodium nitroprusside treatment, comparative analysis of patients before and after treatment of vital signs and B-type brain natriuretic (BNP), echocardiography changes. Results: After treatment, the vital signs of patients were significantly enhanced, BNP decreased, left ventricular end diastolic diameter was significantly improved, before and after treatment were significantly different indicators (P <0.05). Conclusion: Pregnant women are prone to suffer from hypertension during pregnancy with acute left heart failure. Early treatment can prevent the disease from deteriorating, reduce mortality and disability, and ensure the safety of mother and infant.