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患者女,28岁,因怀孕38~+周伴心肌炎后遗症,Ⅲ度房室传导阻滞(AVB)入院。平素常有胸闷、心悸、头昏、乏力。查体:T37℃,Bp20/12kPa,心界稍扩大,心尖搏动在左第五肋间锁骨中线上,心率40bpm,律尚齐,心音低钝。胎儿监护仪示:胎儿宫内窘迫.临床诊断:(1)孕38~+周;(2)胎儿宫内窘迫;(3)心肌炎后遗症,Ⅲ度AVB。因胎儿处于严重缺氧状态,胎盘已老化,及患者胸闷、头昏、乏力等症状加剧,而于1992年6月5日上午在500mA的普通
Female patient, 28 years old, because of pregnancy 38 ~ + weeks with myocarditis sequelae, Ⅲ degree atrioventricular block (AVB) admission. Usually often have chest tightness, palpitations, dizziness, fatigue. Physical examination: T37 ℃, Bp20 / 12kPa, heart slightly expanded, apex beat in the left intercostal clavicle midline, heart rate 40bpm, the law is still homogeneous, low heart sound blunt. Fetal monitor shows: Fetal distress Clinical diagnosis: (1) 38 ~ + weeks pregnant; (2) fetal distress; (3) myocarditis sequelae, Ⅲ degree AVB. Due to fetal hypoxia, the placenta has been aging, and patients with chest tightness, dizziness, fatigue and other symptoms worsened, and in the morning of June 5, 1992 500mA in the ordinary