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101 cases of pregnancy complicated by heart diseas 
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ORANGE EKSTRAKLASA



Dołączył: 03 Mar 2011
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PostWysłany: Pią 18:08, 25 Mar 2011  

Pregnancy complicated by heart disease clinical analysis of 101 cases


An increased incidence of myositis,[link widoczny dla zalogowanych], myocarditis and its sequelae in 18 cases the text, ranking third in the course of the disease have been benign. The rest and, ~-Wt nutritional medicine and anti-, 6 - arrhythmia drugs in therapy (diuretics when necessary to strengthen the heart). Select the appropriate mode of delivery. Intensive care. 1 case of heart failure did not occur but the clinical manifestations of myocarditis, a serious arrhythmia that can lead to sudden death. Obstetrician to be vigilant. Cardiomyopathy, 3 down, 2 of which peripartum cardiomyopathy with heart failure have occurred down. Cardiomyopathy, C. - Myositis, and the three often intertwined arrhythmia, which circle the correct diagnosis more difficult cardiomyopathy. Generally means the occurrence of peripartum cardiomyopathy at 28 weeks of pregnancy suddenly at 6 months postpartum 6 - failure symptoms. In the past, there is no time nor heart rate of organic disease could explain the exact cause of those of unknown etiology and pathogenesis of Sunburn 2 cases of water depends mainly on rest, diuretic and correct cardiac arrhythmias, death did not occur. Pregnancy and heart disease, the main threat to Taiwan is heart failure, many factors affect heart failure, such as age, parity parity, 6 - dirty valve and the degree of myocardial damage, cardiac decompensation. With or without heart failure history. Obstetric complications such as preeclampsia, strong child, polyhydramnios, others such as anemia, infection, especially lung infection can affect heart function, precipitating and aggravating heart failure. 36 cases of heart failure cases were complicated anemia <Hb ≤ 100g / L) 32 cases, accounting for 88.88. Which hemoglobin ~ 80g / L ~ -21 cases. Accounting 58.33X. L5 PIH in 10 cases of heart failure in hemoglobin ≤ 80 $ / L account for 6666, 1 case of death of heart failure in patients with pregnancy induced hypertension hemoglobin only fig / L. Maegregoy · g5 · anemia in pregnant women in Kenya have reported pregnancy-induced hypertension are twice the normal pregnant women, anemia is not a cause of pregnancy-induced hypertension, but both have a certain relationship. Itself can cause severe anemia due to myocardial damage, and induce heart failure. The basic pathological changes of pregnancy-induced hypertension systemic small artery spasm can cause cardiac insufficiency. Increased systemic vascular resistance, left ventricular afterload increased, so that the left ventricular end-diastolic pressure increased, decreased left ventricular contractility, formation of low-emission high impedance. Lead to acute left ventricular failure. The anemia caused by hypoproteinemia reduces the plasma colloid osmotic pressure, easily lead to pulmonary edema, and trigger heart failure. ... Therefore, the implementation of family planning, pregnancy and too late to prevent multiple births. Strengthening prenatal care. Timely correction of various complications. The prevention of maternal heart failure, heart disease, the most important content. Taiwan pregnancy is well principles of heart disease prevention and control of heart failure. Pregnant women with heart disease should have adequate rest, to prevent the emotional excitement over buildings, with particular attention to correct the anemia. Any infections, especially upper respiratory tract infection. Pulmonary infection should be treated. Found to have early symptoms of heart failure, heart failure treatment should be one. Of PIH in time for the EC0, it was discovered 啵 or sT segment changes to be in time, the group called the Columbia from around labor in post-t none were given antibiotics, bacterial endocarditis complicated. Abdomen should be pressed after the baby is delivered sandbags, so as to avoid a sudden excessive lower abdominal pressure cause significant hemodynamic changes. Too much fluid too quickly can occur postpartum pulmonary edema. Within three days after delivery, in particular, still need attention to rectify within 24 hours of infection, heart failure and stroke, heart disease in this group, 6 cases of congenital heart disease fell by 4 of pregnancy did not occur after surgical correction of heart failure. . In recent years. Class II on cardiac function were combined obstetric indications for delivery to end production house agent for the proper, non-obstetric indications were under close observation in the trial production of the vagina, but time not too long, on the function of more than 111 ~ Ⅳ grade tend to split house production delivery. This article 5833x <21/36) implemented a cesarean section maternal heart failure. On the basis of appropriate corrective heart failure in elective cesarean section in ECG under the supervision of the implementation safer than vaginal delivery, suggesting that production is to control the brake Palace maternal heart disease stolen a treatment of heart failure. Surgery to cut official production epidural anesthesia as well, when surgery intensive care, after strict control of fluid volume and infusion speed.


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