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目的分析重度子痫前期并发急性左心衰竭的临床特点及处理方法。方法回顾性分析我院2000年12月至2010年12月收治的重度子痫前期并发急性左心衰竭患者27例,临床资料。结果并发低蛋白血症2例,严重水肿18例,双胎妊娠6例,扩容不当2例。27例均痊愈出院。结论重度子痫前期本身合并低蛋白血症、严重水肿、多胎妊娠,是重度子痫前期并发心力衰竭的诱发因素。积极治疗原发病,防治低蛋白血症,掌握早期心力衰竭的诊断和扩容指征,可减少重度子痫前期心力衰竭的发生。
Objective To analyze the clinical features and treatment of acute left heart failure with severe preeclampsia. Methods The clinical data of 27 patients with severe preeclampsia complicated with acute left heart failure admitted to our hospital from December 2000 to December 2010 were retrospectively analyzed. Results Concurrent hypoproteinemia in 2 cases, severe edema in 18 cases, 6 cases of twin pregnancy, poor expansion in 2 cases. 27 cases were cured and discharged. Conclusion Severe preeclampsia itself with hypoalbuminemia, severe edema, multiple pregnancies, is a predisposing factor for severe preeclampsia complicated with heart failure. Active treatment of the primary disease, prevention and treatment of hypoproteinemia, early heart failure diagnosis and expansion of indications, can reduce the occurrence of severe preeclampsia heart failure.