妊娠合并急性左心衰20例临床分析

Clinical analysis of 20 cases with acute left heart failure in gestational period

目的:探讨妊娠合并急性左心衰的病因和防治措施,提高孕妇心衰的诊治水平。方法:选取2009年至7月至2012年12月在我院产科分娩并确诊为急性左心衰患者20例(观察组),并随机选取无心衰产妇30例(对照组),分析两组临床资料。结果:观察组原发病患病率高于对照组(P<0.05)。给予积极治疗原发病,同时行强心、利尿、扩血管、终止妊娠等综合治疗,其中19例抢救成功,1例死亡,考虑合并肺栓塞。两组无一例新生儿死亡。结论:早期控制原发病,做到早发现和早治疗,特别是剖宫产和及时终止妊娠等措施在纠正心衰中起到关键作用。

Objective： To investigate the causes of pregnancy with acute left heart failure and the prevention and control measures, to further improve the level of diagnosis and treatment of heart failure. Methods： From July of 2009 to December of 2012 in our hospital. 20 patients diagnosed with acute left heart failure obstetric delivery were served as observation group, and 30 without heart failure randomly selected into control group, the clinical data of two groups was retrospectively analyzed. Results： The observation group of primary disease prevalence rate was higher than that of the control group （P 〈 0.05 ）. Active treatment of the primary disease, simuhanous use of cardiactonie and diuresis and expanding blood vessels, termination of pregnancy, successfully rescued 19 patients, but 1 case died of pulmonary embolism. No case of neonatal death. Conclusion： Early control of primary disease, early discovery, early treatment, especially cesarean delivery and timely termination of pregnancy play a key role in correcting heart failure.