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产后心肌病是一种病因尚未阐明的疾病。姚光弼和李炳鑫二组报告106例产后心肌病中曾提到有双胎产妇8例,但均未作详细报告。笔者在临床实践中按Silber诊断标准发现产后心肌病23例,其中有双胎产妇4例。现报告如下。 临床资料 四例均为农村妇女,年龄22～31岁,一例为第1胎,第3、4、5胎各1例。起病最早为产后3天,最长30天,平均16天。妊娠期间有2例曾有过下肢浮肿,但无高血压。产时除1例有流血较多外,均无出血或产后感染史。临床上均有咳嗽、心悸、气促、浮肿等心衰症状,心率104～140(平均119)
Postpartum cardiomyopathy is a disease that has not yet been elucidated. Yao Guangbi and Li Bingxin two groups reported 106 cases of postpartum cardiomyopathy had mentioned twins maternal eight cases, but did not make a detailed report. In clinical practice, according to Silber diagnostic criteria found in 23 cases of postpartum cardiomyopathy, of which there are 4 cases of maternal twins. The report is as follows. Four cases of clinical data were rural women, aged 22 to 31 years, one case of the first child, the first 3,4,5 fetus in each case. The earliest onset of 3 days postpartum, the longest 30 days, an average of 16 days. There were 2 cases of edema of the lower limbs during pregnancy, but no high blood pressure. In addition to producing a case of bleeding in more time, no bleeding or postpartum history of infection. Clinically have cough, palpitations, shortness of breath, edema and other heart failure symptoms, heart rate 104 to 140 (average 119)