妊娠合并心力衰竭早期识别及治疗.docVIP

妊娠合并心力衰竭早期识别及治疗[摘要] 目的:认识妊娠合并心力衰竭对母婴的危险性,探讨早期识别心力衰竭的方法及心力衰竭的治疗原则。方法:回顾分析2002年7月～2008年6月32例在本院诊治的妊娠合并心力衰竭患者的临床资料。结果:妊娠高血压性心脏病占62.5%,风湿性心脏病占9.3%,心肌炎占6.3%,先天性心脏病占6.3%,原因不明占6.3%,红斑狼疮占3.12%。早产儿发生率为37.5%,新生儿窒息占26.7%,孕产妇死亡1例,占3.13%,围生儿死亡占6.25%。结论:妊娠合并心力衰竭的主要病因之一为重度子痫前期,早期诊断心力衰竭及综合治疗妊娠合并心力衰竭,做好孕期保健,有利于降低孕产妇和围生儿的死亡率。 [关键词] 早期识别;妊娠合并心力衰竭;重度子痫前期;孕期保健 [中图分类号] R541.6+1 [文献标识码]A [文章编号]1674-4721(2010)03(a)-023-03 Early recognition and treatment of pregnancy complicated by heart failure DU Yuqin,ZHANG Junlian,LIU Wei,LIU Hongxiu (Department of Obstetrics and Grynecology, Zhangmutou Hospital of Dongguan, Dongguan 523633, China) [Abstract] Objective: To understand the danger of pregnancy complicated by heart failure to the mother and the fetus,discuss the method of early recognition and the principle of treatment. Methods: Retrospectively analyzed the clinical data of 32 pregnant women with heart failure treated in our hospital between July 2002 and June 2008. Results: 62.5% with heart failure in pregnancy-induced hypertension, 9.3% with rheumatic heart disease,6.2% with myocarditis, 6.3% with congenital heart disease,6.3% unknown, 3.12% lupus erythematosus.The rate of preterm birth was 37.5%, 26.7% newborn suffocation,maternal mortality was 3.12%,and perinatal mortality was 6.67%. Conclusion: The main cause of heart failure in pregnancy is severe pre-eclampsia. Clinical manifestations vary with the causes of heart failure. It helps to reduce the maternal and perinatal mortality to recognize and treat the heart failure early, and exercise pregnancy health care. [Key words] Early recognition;Pregnancy complicated by heart failure;Severe pre-eclampsia;Pregnancy health 妊娠合并心脏病是产科严重合并症,若出现心功能衰竭将严重威胁母婴的生命安全。虽然近年来妊娠期心脏病发生率有所下降,但它仍是孕产妇死亡的重要原因。早期识别、早期治疗、选择适当终止妊娠时机和方法,是抢救母婴生命的重要措施。现将本院收治的32例妊娠合并心力衰竭的患者资料分析如下: 1 资料与方法 1.1 一般资料 本院2002年7月～2008年6月收治妊娠合并心力衰竭患者32例,平均年龄19～38岁,孕周31+3～40+4周。其中,妊娠高血压性心脏病20例,占62.5%;风湿性心脏病3例,占9.3%;心肌炎2例,占6.3%;围生期心脏病2例,占6.3%;先天性心脏病2例,占6.3%