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我院1994～1998年抢救妊高征心衰5例,均获成功,现报告如下。 1 临床资料 1.1 一般资料:年龄23～26岁3例,28岁、31岁各1例。孕37～41周。均为初产妇。 1.2 临床表现及检查:5例无心脏病史,但均有心慌、气短、咳嗽、呼吸困难等症状。血压在21～23/13～16 kPa,水肿卅～卌,心界扩大,心率120～160次/分,肺底部湿性罗音。尿蛋白卅～卌。心电图窦性心动过速,心肌缺血,心功能检查呈低排高阻型。 1.3 治疗:高流量吸氧。扩血管利尿,硝酸甘油0.3～0.6mg舌下含化。酚妥拉明15～30mg加入5％葡萄糖液100mL静点,速度0.1～0.3mg/分,3～5分钟测血压一次,使血压维持在18/11 kPa为宜。速尿40～60mg加入10％葡萄糖250mL内静点,30～40滴/分。一定严格掌握液体出入量,注意水电解质平衡
Our hospital from 1994 to 1998 to rescue PIH heart failure in 5 cases, were successful, are as follows. 1 Clinical data 1.1 General Information: Aged 23 to 26 years old in 3 cases, 28 years old, 31 years old in 1 case. 37 to 41 weeks of pregnancy. All primipara. 1.2 Clinical manifestations and examination: 5 cases without a history of heart disease, but have palpitation, shortness of breath, cough, difficulty breathing and other symptoms. Blood pressure at 21 ~ 23/13 ~ 16kPa, edema 卅 ~ 卌, heart expansion, heart rate 120 ~ 160 beats / min, wet bottom of the lungs rales. Urinary protein 卅 ~ 卌. Electrocardiogram sinus tachycardia, myocardial ischemia, cardiac function tests showed low-row high resistance type. 1.3 treatment: high-flow oxygen. Vasodilation diuretic, nitroglycerin 0.3 ~ 0.6mg sublingual. Phentolamine 15 ~ 30mg added 5% glucose solution 100mL static point, speed 0.1 ~ 0.3mg / min, 3 to 5 minutes to measure blood pressure, the blood pressure maintained at 18/11 kPa appropriate. Furosemide 40 ~ 60mg added 10% glucose 250mL within the static point, 30 to 40 drops / min. Must strictly control the amount of fluid, pay attention to water and electrolyte balance