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围产期心肌病

[Peripartum cardiomyopathy].

作者信息

Tateda K, Ishii Y, Hirasawa K

机构信息

Asahikawa City Hospital, Department of Internal Medicine.

出版信息

Nihon Rinsho. 2000 Jan;58(1):166-70.

Abstract

Heart failure in the last month of pregnancy or with in 5 months after delivery has long been recognized as peripartum cardiomyopathy. Additional criteria include the absence of other identifiable causes of heart failure and the absence of other prior heart disease. Estimate of the incidence vary from 1 in 1300 to 4000 pregnancies. The mortality rates of this disorder in the acute phases and subacute phases range from 25 to 50 percent the prognosis is especially poor in patients with cardiomegaly persisting > 6 months and in patients with low left ventricular ejection fraction.

摘要

妊娠最后一个月或产后5个月内发生的心力衰竭长期以来被认为是围产期心肌病。其他标准包括不存在其他可识别的心力衰竭病因以及既往无其他心脏病史。其发病率估计为每1300至4000次妊娠中有1例。该疾病在急性期和亚急性期的死亡率为25%至50%,心脏扩大持续超过6个月的患者以及左心室射血分数低的患者预后尤其差。

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