中重度围生期心肌病11例临床分析

Clinical analysis in 11 cases with moderate or sever peripartun cardiomyopathy

目的:分析围生期心肌病的临床相关因素及治疗效果。方法:分析我科收治的11例中重度围生期心肌病患者的临床资料,比较治疗1个月后病人的心功能变化、左室射血分数及左室舒张末内径。结果:11例患者经系统治疗,7例显效,3例有效,1例无效。治疗后左室射血分数明显升高,左室舒张末内径明显减小。结论:围生期心肌病与高龄妊娠有关,约30%的病人合并妊娠高血压综合征;早期诊断,及时、规范的治疗是促进左室功能恢复、改善预后的关键。

Objective： To analyse the relative factors and treatment effect of the peripartum cardiomyopathy. Methods： Retrospectively analyzed clinical data of 11 cases with moderate or sever peripartun cardiomyopathy who had treated in our department, Compares for cardiac function change, left ventricular ejection fraction and left ventricular end - diastolic lumen after 1 month treatment. Results： After systolic treatment , 7 cases got dominant effective , 3 cases got effective, 1 case is invalid. The left ventricular ejection fraction increased significantly and left ventricutar end - diastolic evidently decreased diameter. Conclusion： The peripartum car- diomyopathy related to older age pregnancy , Of whom, roughly 30% of patients with hypertension syndrome; Early diagnosis, timely - standard treatment is the key to promot left ventrieular function recovered and improve prognosis.