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目的探讨妊娠期高血压性心脏病的早期诊断和预防措施。方法珠海市妇幼保健院对1994年1月至2004年1月间,收治的45例妊娠期高血压性心脏病患者的临床资料进行回顾性分析。结果除1例产妇死亡,3例死胎外,经积极治疗,母婴均获良好结局。结论(1)妊娠期高血压疾病本身或合并贫血、低蛋白血症、严重的水肿和不恰当的扩容治疗,是妊娠期高血压性心脏病发病的危险因素。(2)治疗应在扩血管的基础上强心、利尿,慎用硫酸镁。控制心衰6～8h应及时终止妊娠。(3)积极治疗原发病、纠正贫血和低蛋白血症、早期诊断心衰及严格掌握扩容指征。
Objective To investigate the early diagnosis and prevention of hypertensive heart disease in pregnancy. Methods Zhuhai Municipal Maternal and Child Health Hospital from January 1994 to January 2004 45 cases of hypertensive heart disease in pregnancy clinical data were retrospectively analyzed. Results In addition to 1 maternal death, 3 stillbirth, the active treatment, both mother and child have a good outcome. Conclusions (1) Hypertensive disorders of pregnancy itself or with anemia, hypoproteinemia, severe edema and inappropriate dilatation therapy are risk factors for the development of hypertensive heart disease in pregnancy. (2) treatment should be based on vasodilator cardiac, diuretic, caution magnesium sulfate. Control of heart failure 6 ~ 8h should terminate the pregnancy. (3) actively treat the primary disease, correct anemia and hypoproteinemia, early diagnosis of heart failure and strict indications of expansion.