重度妊娠期高血压疾病孕妇产后合并心力衰竭临床研究

Clinical Study of Postpartum Heart Failure in Pregnant Women with Severe Pregnancy-induced Hypertension

目的:探讨重度妊娠期高血压疾病孕妇产后合并心力衰竭的临床治疗。方法:选取某院共53例重度妊娠期高血压疾病产后合并心力衰竭孕妇作为研究对象,均给予临床综合治疗,分析其临床资料。结果:53例HDCP患者中,行无创机械通气46例,有创机械通气7例。其中剖宫产43例,阴道分娩10例。治疗后收缩压、舒张压、心率和治疗前相比,有明显差异(P<0.05);妊娠结局统计显示,新生儿窒息2例,低体重儿2例,早产儿8例,新生儿并发症发生率22.64%。结论:对重度妊娠期高血压产后合并心力衰竭的产妇,临床中应给予高度重视,根据患者实际情况,进行机械通气等针对性治疗,从而改善患者临床症状,提高患者生存率,降低并发症发生率。

Objective: To investigate the clinical treatment of postpartum heart failure in pregnant women with severe gestational hypertension. Methods: A total of 53 cases of postpartum pregnant women with heart failure complicated severe pregnancy-induced hypertension were selected as study subjects. Clinical comprehensive treatment was given and clinical data were analyzed. Results: In the 53 HDCP patients, 46 cases underwent non-invasive mechanical ventilation and 7 underwent mechanical ventilation. There were 43 cases of cesarean section and 10 cases of vaginal delivery. There were significant differences in systolic blood pressure, diastolic blood pressure and heart rate after treatment and before treatment(P<0.05). The results of pregnancy outcomes showed that there were 2 cases of neonatal asphyxia, 2 cases of low birth weight infants, and 8 cases of premature infants. The incidence of neonatal complications was 22.64%. Conclusion: High attention should be paid to the puerpera with severe gestational hypertension and postpartum heart failure, and targeted treatment such as mechanical ventilation should be carried out according to the actual situation of the patients, so as to improve their clinical symptoms, improve the survival rate of patients, and reduce the incidence of complications.