论文部分内容阅读
目的探讨妊娠合并心力衰竭对母婴的危险性及诊断处理方法。方法回顾分析1998年1月~2005年12月我院收治的30例妊娠合并心力衰竭(简称心衰)患者的临床资料。结果妊娠合并心衰病例中子痫前期并发心衰占46.67%,围生期心肌病占13.33%,先天性心脏病占13.33%,风湿性心脏病占10%;平均心衰发生时间是孕(33±6)周,平均终止孕周时间为(35.2±2.7)周;早产发生率为71.43%,平均新生儿体重(2 389±710)g,围生期孕产妇死亡1例(3.33%),围生儿死亡5例(17.85%)。误诊8例(26.67%)。结论妊娠合并心衰的主要病因为子痫前期。做好孕期宣教和产前检查,治疗以强心、利尿、扩张血管为主,结合病因制定个体化的治疗方案。剖宫产是比较安全的分娩方式。
Objective To investigate the risk of maternal and neonatal pregnancy complicated with heart failure and its diagnosis and treatment. Methods The clinical data of 30 patients with pregnancy complicated with heart failure (HF) admitted to our hospital from January 1998 to December 2005 were retrospectively analyzed. Results of pregnancy complicated with heart failure cases of preeclampsia with heart failure accounted for 46.67%, perinatal cardiomyopathy accounted for 13.33%, congenital heart disease accounted for 13.33%, rheumatic heart disease accounted for 10%; average heart failure occurred in pregnancy ( (35.2 ± 2.7) weeks. The rate of preterm delivery was 71.43%, mean neonatal weight was (2 389 ± 710) g, and perinatal maternal mortality was 1.33% , Perinatal death in 5 cases (17.85%). Misdiagnosis in 8 cases (26.67%). Conclusion The main cause of pregnancy complicated with heart failure is preeclampsia. Good prenatal education and prenatal care, treatment with cardiac, diuretic, dilated blood vessels, combined with the etiology of individualized treatment programs. Cesarean delivery is a safer delivery method.