论文部分内容阅读
对我院9例妊高征性心脏病进行分析。9例均为重度妊高征,心衰10次,入院时确诊5例,误诊2例。心衰诱因:5例为重度妊高征发展而致,心衰发作前水肿均在(+++)以上;2例应用扩容治疗而致,治疗前水肿均在(+++)以上;另外2例因产程进展及抗感染输液不当诱发,其中1例术后输液再次诱发心衰发作。结果:7例剖宫产,1例自然分娩,1例产钳,无1例产妇死亡,8例新生儿存活,1例新生儿第二天死亡。提示:妊高征心脏病治疗中应严格掌握扩容指征,慎用硫酸镁,应在血管扩张剂、利尿剂基础上强心,补液速度和量要控制。
9 cases of PIH in our hospital were analyzed. Nine cases were severe PIH, heart failure 10 times, 5 cases diagnosed on admission, 2 cases were misdiagnosed. Heart failure inducement: 5 cases of severe PIH caused by the development of heart failure before the edema were (+++) above; 2 cases due to expansion therapy, before treatment, the edema were (+++) above; the other 2 cases due to labor progress and anti-infection induced by improper infusion, of which 1 case of infusion again induced heart failure. Results: Seven cases of cesarean section, one case of natural childbirth and one case of forceps were used. No maternal death occurred in one case, eight newborns survived, and one newborn died on the second day. Tip: PIH heart disease treatment should be strictly controlled indications of expansion, caution magnesium sulfate, should be in the vasodilators, diuretics on the basis of cardiac, fluid speed and volume to be controlled.