妊娠期高血压性心脏病的防与治

Prevention and treatment of cardiovascular diseases induced by hypertensive disorders of pregnancy

妊娠期高血压性心脏病是在妊娠期高血压疾病基础上发生的心脏泵血功能减退,严重者甚至出现以左心衰竭为主的全心衰竭综合征,其病情凶险,病死率高,发病隐匿,早期症状易被忽略。对于妊娠期高血压疾病患者要采取积极降压等治疗,动态进行心功能评估,积极纠正高危因素,预防心力衰竭(心衰)的发生。已发生急性心衰者,按照一般急性心衰的原则治疗的同时应治疗导致子痫前期的原发病,并及时终止妊娠。

Cardiovascular diseases induced by hypertensive disorders of pregnancy is a cardiac pump dysfunction that occurs on the basis of hypertensive disorders in pregnancy.In severe cases,there is even a group of heart failure syndromes characterized by left heart failure.The disease is extremely dangerous and has a high lethality.However,the disease often onsets occultly because its early symptoms are easily overlooked.Therefore,patients with hypertensive disorders complicating pregnancy should receive efficient antihypertensive treatments as well as dynamical heart function evaluation.In addition,active correction of high risk factors contributes to the prevention of heart failure.For patients who have had acute heart failure,besides the treatment for acute heart failure,it is also significant to take appropriate measures to treat the primary disease of preeclampsia and terminate the pregnancy in time.