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围产期心肌病——16例报告

Peripartum cardiomyopathy--report of 16 cases.

作者信息

Yang Jiaxin, Liu Juntao, Bian Xuming

机构信息

Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730.

出版信息

Chin Med Sci J. 2002 Jun;17(2):117-20.

Abstract

OBJECTIVE

To analyze the clinical characteristics of peripartum cardiomyopathy and to evaluate the different factors that influence the prognosis of the peripartum cardiomyopathy.

METHOD

A retrospective review was undertaken on records of women who were diagnosed with peripartum cardiomyopathy at Peking Union Medical College Hospital between Jan. 1983 and May 1999.

RESULTS

During the research period, only 16 pregnant women were documented as peripartum cardiomyopathy. Some of the women undertook ultrasonic cardiographic (UCG) examination that showed decreased systolic function. Seven women were complicated with pregnancy induced hypertension. Three died of disseminated intravascular coagulation, embolism and cardiogenic shock respectively.

CONCLUSION

Early diagnosis of the peripartum cardiomyopathy is extremely important. The UCG can provide helpful information on disease progression or regression.

摘要

目的

分析围产期心肌病的临床特征,并评估影响围产期心肌病预后的不同因素。

方法

对1983年1月至1999年5月在北京协和医院被诊断为围产期心肌病的女性患者记录进行回顾性研究。

结果

在研究期间,仅有16例孕妇被记录为围产期心肌病。部分女性接受了超声心动图(UCG)检查,结果显示收缩功能下降。7名女性并发妊娠高血压。3名女性分别死于弥散性血管内凝血、栓塞和心源性休克。

结论

围产期心肌病的早期诊断极其重要。超声心动图可为疾病的进展或恢复提供有用信息。

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