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目的了解妊娠期高血压并急性左心衰的临床治疗方法,总结临床治疗妊娠期高血压并急性左心衰的经验及注意事项。方法对36例妊娠期高血压并急性左心衰患者的临床诊治资料进行回顾性分析。结果经积极抢救,严密的监护和及时有效的手术,36例患者中,无孕产妇死亡,1例围生儿死亡。结论重视产前检查,着重预防,及早发现和控制心力衰竭,实施剖宫产,必要时使用强心治疗对改善患者的病情有积极作用。
Objective To understand the clinical treatment of hypertensive pregnancy complicating acute left heart failure and to summarize the experience and precautions of clinical treatment of hypertensive patients with acute left heart failure during pregnancy. Methods The clinical data of 36 patients with gestational hypertension and acute left heart failure were retrospectively analyzed. Results After active rescue, strict supervision and timely and effective surgery, 36 patients were without maternal death and 1 perinatal death. Conclusion Emphasis on prenatal care, focusing on prevention, early detection and control of heart failure, the implementation of cesarean section, if necessary, the use of cardiotherapy to improve the patient’s condition has a positive effect.