妊娠合并暴发性心肌炎的诊治

Diagnosis and treatment of pregnancy complicated with fulminant myocarditis

暴发性心肌炎通常从感冒症状开始,迅速发展为胸闷、心悸,至恶性心律失常、心衰、心源性休克等,死亡率高。一旦诊断妊娠合并暴发性心肌炎,应迅速转诊至重症监护病房,进行免疫调节、抗心衰和抗休克治疗,严重者需要生命支持治疗,并根据孕周及胎儿宫内状况决定终止妊娠时机。

Fulminant myocarditis usually begins with a cold symptom and rapidly develops into chest tightness,heart palpitations,malignant arrhythmia,heart failure,cardiogenic shock,etc.,and the mortality is high.Once the pregnant patient is diagnosed with fulminant myocarditis,she should be promptly referred to the intensive care unit for immunomodulation,anti-heart failure and anti-shock treatment.In severe cases,life support treatment is needed,and the timing of termination of pregnancy is determined according to the gestational age and intrauterine fetal condition.