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本文就我院1953～1983年收治的妊娠高血压综合征(简称妊高征)合并心力衰竭(简称心衰)60例作一临床分析。其发生率在最早5年内为0.187％,最后6年已下降至0.02％,60例中产妇死亡9例(15％),59例围产儿中死亡15例(25.4％)。本组病例具有以下临床特性:(1)心衰发生于孕36周后者占66.7％病例;(2)血压高于20/16kPa(150/120mmHg)者占93.3％;(3)心衰发生于冬季者占70％;(4)有蛋白尿++→++++者占83.3％。因此重度妊高征患者符合上述情况时,须警惕其发生心衰,以便及早诊断和积极治疗。近年来由于开展计划生育,加强产前检查,妊高征合并心衰的发病率和病死率已明显下降。
This article from 1953 to 1983 admitted to our hospital pregnancy-induced hypertension (PIH) with heart failure (HF) 60 cases for a clinical analysis. The incidence was 0.187% in the first 5 years, 0.02% in the last 6 years, 9 (15%) in 60 maternal deaths and 15 (25.4%) in 59 perinatal deaths. The patients had the following clinical features: (1) heart failure occurred in 66.7% of cases after 36 weeks’ gestation; (2) 93.3% had blood pressure higher than 20 / 16kPa (150 / 120mmHg); (3) heart failure occurred In winter accounted for 70%; (4) have proteinuria ++ → ++++ accounted for 83.3%. Therefore, patients with severe PIH meet the above conditions, we must guard against the occurrence of heart failure, in order to early diagnosis and active treatment. In recent years due to family planning, strengthen prenatal care, pregnancy-induced hypertension syndrome and morbidity and mortality has dropped significantly.