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循环血量在妊娠末期增加显著,加之分娩前后输入过多液体或大量应用催产素,产后回心血量剧增,常常发生心力衰竭。现结合我院13例分娩前循环血量增多致心衰病例分析如下: 临床资料: 本文13例中,年龄在19—46岁,其中第一产程延长2例,产前后子痫5例,子宫破裂失血性休克2例,难产剖腹产术后1例,感染性休克3例。治疗中输入液总量2500—7400ml,补液速度1.5—4ml/分,抢救休克最初30分钟,输液速度8—10ml/分,应用催产素
Circulating blood volume increased significantly in the end of pregnancy, combined with excess fluid before or after delivery, or large quantities of oxytocin, blood back to the dramatic increase in postpartum heart failure, heart failure often occurs. Now with our hospital 13 cases of pre-delivery increased blood volume caused by heart failure cases are as follows: Clinical data: 13 cases of this article, aged 19-46 years, of which the first stage of labor was extended in 2 cases, 5 preeclampsia, 2 cases of uterine rupture hemorrhagic shock, 1 case of difficult labor after caesarean section, 3 cases of septic shock. The total amount of infusion in the treatment of 2500-7400ml, rehydration rate of 1.5-4ml / min, the first 30 minutes of rescue shock, infusion rate of 8-10ml / min, the application of oxytocin