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妊娠高血压综合征(简称妊高征)是产科重要并发症,也是严重危害母婴生命和健康的疾病。其基本病理变化是全身小动脉痉挛,使各脏器血供应不足,特别是脑、心、肾、肝和胎盘的缺血、组织缺氧,引起各脏器的病理生理改变。关于妊高征对心脏的影响,早已引起学者们的重视。国内陶长生最近报告20例重度先兆子痫和子痫患者心电图变化。而对妊高征患者轻、中、重各期的心电图变化,并进行追踪观察,目前尚未见报道。笔者将我院住院确诊为妊高征的患者中,选择心电图资料记录详细的266例,其中有69例进行了产后追踪观察,并以300例正常晚期妊娠妇女心电图变化做对照。现将结果分析报告如下。资料与方法 266例均为妊娠28～40周或产后数日,以初孕妇为主,年龄24～32岁(平均25.7岁)。均无高血压和心脏病史。其妊高征的分类,我们按江森提出的方法进行分类与统计。本文266例中,轻度者166例,占62.4％;中度者74例,占27.8％;重度者26例(其中产前子痫18例、产时子痫4例、产后子痫4例),占9.8％。300例正常晚期妊娠妇女,均为妊娠32～41周,以初孕妇为主,年龄23～31岁(平均25.9岁)。常规描记9～12个导联,69例患者于出院后2～12个月进行了心电图复查。
Pregnancy-induced hypertension (referred to as PIH) is an important complication of obstetrics, but also seriously endanger the lives and health of maternal and infant diseases. The basic pathological changes are systemic arteriolar spasm, so that lack of blood supply to various organs, especially the brain, heart, kidney, liver and placental ischemia, hypoxia, causing the pathophysiological changes of various organs. On the impact of pregnancy-induced hypertension on the heart, has drawn the attention of scholars. Tao Changsheng domestic recently reported 20 cases of severe preeclampsia and eclampsia in patients with ECG changes. The PIH patients with light, moderate and severe ECG changes, and follow-up observation, has not been reported. The author hospitalized in our hospital diagnosed with PIH patients, select the electrocardiogram data records 266 cases in detail, of which 69 cases were postpartum follow-up observation, and 300 cases of normal late pregnancy ECG changes in women as controls. Now the analysis of the results reported below. Materials and Methods 266 cases were 28 to 40 weeks of gestation or a few days after giving birth, mainly pregnant women, aged 24 to 32 years (mean 25.7 years). No history of hypertension and heart disease. The classification of pregnancy-induced hypertension, we propose the method according to Johnson classification and statistics. In this article 266 cases, mild in 166 cases, accounting for 62.4%; moderate in 74 cases, accounting for 27.8%; severe in 26 cases (including 18 cases of prenatal eclampsia, eclampsia during delivery of 4 cases, 4 cases of postpartum eclampsia ), Accounting for 9.8%. 300 cases of normal late pregnancy women, are 32 to 41 weeks of pregnancy, mainly pregnant women, aged 23 to 31 years (mean 25.9 years). Conventional tracing 9 to 12 leads, 69 patients were discharged from the hospital 2 to 12 months after the ECG was reviewed.