重度先兆子痫术后并发急性左心衰竭一例  

Acute left heart failure after sever preeclampsia:a case report

作　　者：牛悦 钱华[2] NIU Yue;QIAN Hua(Graduate School of Dalian Medical University,Liaoning Province,Dalian 116044,China;Department ofGynecology and Obstetrics,Taizhou People’s Hospital,Jiangsu Province,Taizhou 225300,China)

机构地区：[1]大连医科大学研究生院,辽宁大连116044 [2]江苏省泰州市人民医院妇产科,江苏泰州225300

出　　处：《妇儿健康导刊》2022年第10期88-90,94,共4页JOURNAL OF WOMEN AND CHILDREN'S HEALTH GUIDE

摘　　要：先兆子痫是发生在妊娠20周以后的妊娠期高血压疾病,妊娠32~34周、分娩期与产后72 h血容量急剧增加加重心脏负荷,容易并发心力衰竭。临床诊治一例孕35+6周重度先兆子痫术后并发急性左心衰竭产妇,通过产科、重症医学科及麻醉科等多学科讨论合作最终孕产妇生命体征平稳。先兆子痫并发急性心力衰竭严重威胁孕产妇生命,本文旨在探索其发病诱因及治疗,做到早诊断、早治疗,避免不良结局的发生。Preeclampsia is a hypertensive disorder of pregnancy that occurs after 20 weeks of gestation.From 32 to 34 weeks of gestation,delivery period and 72 hours postpartum,the blood volume increases dramatically,aggravating the heart load,and is prone to cardiac failure.A woman with acute left heart failure after severe preeclampsia at 35+6 weeks of gestation was given clinical diagnosis and treatment,and the maternal vital signs were finally stabilized through multidisciplinary discussion and cooperation with Obstetrics,Intensive Care Medicine and Anesthesiology.Preeclampsia complicated with acute heart failure is a serious threat to maternal life.This article aims to explore its pathogenesis and treatment,so as to achieve early diagnosis and early treatment,to avoid the occurrence of adverse pregnancy outcomes.

关 键 词：先兆子痫 左心衰竭 诊断 治疗 

分 类 号：R714.252[医药卫生—妇产科学]