子痫前期患者合并心脏功能不全防治  

Prevention and treatment of preeclampsia complicated with cardiac insufficiency

作　　者：彭婷[1] 李笑天[1] PENG Ting;LI Xiao-tian(Obstetrics Gynecology Hospital of Fudan University,Shanghai 200011,China)

机构地区：[1]复旦大学附属妇产科医院

出　　处：《中国实用妇科与产科杂志》2019年第11期1213-1217,共5页Chinese Journal of Practical Gynecology and Obstetrics

基　　金：生殖健康及重大出生缺陷防控研究重点专项（2016YFC1000400,2016YFC1000403）

摘　　要：子痫前期孕妇存在双胎或低蛋白血症、长期应用保胎药物等因素显著增加心力衰竭风险。结合典型临床表现和辅助检查可以诊断子痫前期合并心功能不全,但心功能不全发病隐匿,早期症状易被忽视,要重视早期心衰表现。积极控制子痫前期,及时终止妊娠是预防发生心脏功能不全的主要措施。子痫前期还是远期心血管并发症的重大危险因素,需要综合多学科诊治,加强远期随访。Complication with twins or hypoproteinemia and long-term use of fetal protection drugs and other factors in preeclampsia pregnant women significantly increase the risk of heart failure.Combining typical clinical manifestations with auxiliary examinations can diagnose preeclampsia complicated with cardiac insufficiency.The early symptoms of cardiac insufficiency are easy to be neglected.We should pay attention to the manifestations of early heart failure.Active control of preeclampsia and timely termination of pregnancy are the main measures to prevent cardiac insufficiency.Preeclampsia is also a major risk factor for long-term cardiovascular complications.It is necessary to synthesize multidisciplinary diagnosis and treatment and strengthen long-term follow-up.

关 键 词：子痫前期 心脏功能不全 

分 类 号：R714.252[医药卫生—妇产科学]