Peng T C, Chuah E C
Department of Anesthesiology, Chang-Gung Memorial Hospital, Taipei, Taiwan, R.O.C.
Acta Anaesthesiol Sin. 2001 Mar;39(1):47-51.
Peripartum cardiomyopathy in the form of congestive heart disease of unknown etiology appears relatively rarely during the last month of pregnancy or within 5 months after delivery, and it is potentially life-threatening. This case report describes a 34-year-old female, G4P1, at 36 weeks' gestation who was admitted for cesarean section under lumbar epidural anesthesia due to twin pregnancy. She had no past history of cardiovascular diseases. However, rapid onset of dyspnea at ward and acute cardiac failure developed 15 h after cesarean section. Peripartum cardiomyopathy was diagnosed. After a 7-day intensive treatment she was discharged. Since then she was symptom-free and her two babies were doing well during a period of one more years after discharge.
围产期心肌病表现为病因不明的充血性心脏病，在妊娠最后一个月或分娩后5个月内相对少见，且有潜在生命危险。本病例报告描述了一名34岁、孕4产1、妊娠36周的女性，因双胎妊娠在腰麻下行剖宫产术入院。她既往无心血管疾病史。然而，剖宫产术后15小时在病房迅速出现呼吸困难并发展为急性心力衰竭。诊断为围产期心肌病。经过7天的强化治疗后出院。此后她无症状，出院后一年多来她的两个婴儿情况良好。
