妊娠期高血压并发急性心力衰竭的急救与剖宫产麻醉处理

First aid and anesthesia treatment of hypertension complicated with acute heart failure in pregnancy

目的:对妊娠期高血压并发急性心力衰竭患者进行临床急救和剖宫产麻醉处理,以期为临床诊治积累经验。方法:对东莞市黄江医院2014年1月至2016年1月收治的80例妊娠期高血压并发急性心衰患者的临床资料进行回顾分析,总结临床急救及剖宫产麻醉处理措施,并探讨该组患者的临床效果。结果:本组患者通过积极救治和有效处理,实施剖宫产,胎儿均顺利娩出,未出现母婴死亡病例;治疗后患者血压得到明显改善,和治疗前相比有差异(P<0.05);救治前后新生儿Apgar评分差异有统计学意义(P<0.05)。结论:对于妊娠高血压并发急性心衰患者,应给予积极有效的急救,妥善做好麻醉工作,确保母婴安全。

Objective： To study the clinical and emergency treatment of hypertensive disorder complicated with acute heart failure in pregnan- cy. Methods：Retrospective analysis of clinical data of 80 cases of hypertension complicated with acute heart failure in pregnancy in Huangjiang hospital of Dongguan city from January 2014 to January 2016 was conducted, with the clinical anesthesia and emergency treatment measures summa- rized. And then the clinical effect of the patients was explored. Results： In this group of patients with active treatment and effective treatment, fetu- ses were successfully delivered after the implementation of cesarean section, without cases of maternal death; after treatment, patients＇blood pres- sure was significantly improved, compared with that before treatment （ P 〈 0.05 ） ; there was statistical significance of the neonatal Apgar score be- fore and after treatment （ P 〈 0.05 ）. Conclusion： Hypertension complicated with acute heart failure during pregnancy should be given first aid and proper anesthesia effectively, ensuring maternal safety, as well as the smooth delivery of the fetus.