探讨妊娠心脏病患者的临床治疗.docVIP

探讨妊娠心脏病患者的临床治疗摘要： 目的 探讨妊娠心脏病患者的临床治疗， 方法 对我院近期收治的心脏病患者，进行适当的有效治疗。 结果 26例心脏病妊娠患者在孕期症状均得到明显的改善。 结论 对心脏病妊娠患者从受孕到终止或到生产都需要有专业医疗人员跟踪观察。如出现异常及时处理，有效的避免突发事件的发生。 关键词： 妊娠心脏病 治疗 在孕妇死亡原因中，妊娠合并心脏病据重要位置，仅次于产后出血、妊高症 、羊水栓塞占第四位［１］。其中风湿性心脏病最多，先天性心脏病次之。近年来，由于风湿热的发病率下降，其他心脏病合并妊娠的情况相对增多。心率衰竭是妊娠合并心脏病主要致死原因，预防和控制妊娠期心力衰竭的发生是降低孕产妇和新生儿死亡率的关键。 一般资料 　　收集我院近年来在妇产科住院的患者26人，其中：经产妇18人，初产妇8人，最大年龄37岁，最小年龄22岁，平均年龄27.4岁。临床表现 　　2.1 症状妊娠早期可无症状或只有轻微的心慌、胸闷、随着妊娠月份的增长，心率增 快，锌排出量增加，加重了心脏负担，可见，出现心慌、呼吸困难、咳嗽、随着血容量的不断增加；症状渐加重，可出现夜间睡眠时或活动时明显干咳；并非支气管炎或肺部感染时，常咳出黏液痰或脓痰，并可发热，有的孕妇可出现痰中带血丝，甚至大量咳血，这是由于肺静脉与气管静脉间侧枝循环破裂所致，二尖瓣狭窄阻碍了血液从左心房到右心室，尤其是妊娠中晚期血容量的增加及血液动力学的改变，以及分娩、产后心率增加、子宫收缩复位和胎盘分流关闭，使回心血量剧减，引起肺循环血量突然增多，造成急性肺血肿，病人出现明显呼吸困难、紫纤、咳粉红色泡沫痰，频死感等，有的可发生猝死。 County economic work conference leadership speech:The main task of the twenty-six session of the six plenary meeting of the county the county economic work conference this time, by the partys eighteen and eighteen Third Plenary Session of the spirit as a guide, carry out and implement the central and provincial economic work conference on rural work conference and the three session of the seven plenary session of the party to expand the spirit of the meeting, the total summary of last year the work, analysis of the current situation, the deployment of this work, further strengthening the development of consensus, to mobilize the whole county county, deepening reform and innovation, to work against poverty, accelerate the transformation of leapfrog, promote scientific development, struggling to write a new harmonious beautiful mountains and show a prosperous civilization to build a new building. The following chapter * *, according to the county Discussion of the views of the Standing Committee, I focus on four aspects of the problem:* * * years, the county to seriously implement the central decision-making arrangements and real, in accordance with the high position, as a typical tree, catch catch up with speed for a breakthrough, five in one overall grasp to