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目的探讨重度子痫前期急性左心衰的特点及救治措施。方法回顾性分析大兴医院2007-04-2009-11收治的36例急性重度子痫前期左心衰患者的临床资料,及在常规药物和机械通气治疗的疗效分析。结果 28例药物治疗后症状改善,喘憋症状消失,心率下降双肺湿啰音减少;8例保守治疗症状无改善者在接受机械通气治疗后临床症状好转,血气分析指标明显改善。结论重度子痫前期急性左心衰患者在常规药物治疗基础上,要严密监测生命体征,症状不能缓解时使用机械通气治疗纠正缺氧,减轻肺水肿十分有效。
Objective To investigate the characteristics and treatment of acute left heart failure in severe preeclampsia. Methods The clinical data of 36 patients with acute severe preeclampsia who had left heart failure admitted from 2007-04-2009-11 in Daxing Hospital were analyzed retrospectively. The curative effect of conventional drugs and mechanical ventilation was analyzed. Results After treatment, the symptoms of 28 patients were improved, wheezing and symptoms disappeared, and heart rate was decreased. The symptoms of 8 patients with conservative treatment were not improved. The clinical symptoms improved after mechanical ventilation, and the indexes of blood gas analysis were significantly improved. Conclusion Severe preeclampsia patients with acute left heart failure on the basis of conventional medical treatment, we must closely monitor vital signs, symptoms can not be alleviated when using mechanical ventilation to correct hypoxia, reduce pulmonary edema is very effective.