Rolfe M, Tang C M, Walker R W, Bassey E, George M
Royal Victoria Hospital, Banjul, The Gambia, West Africa.
J Trop Med Hyg. 1992 Jun;95(3):192-6.
Twenty-seven patients with peripartum cardiac failure were seen at the Royal Victoria Hospital, Banjul over a 2-year period while one further patient presented 6 months after delivery with a cerebral embolus secondary to a dilated cardiomyopathy. Five (18%, P less than 0.001) patients had twin pregnancies. Seventeen (63%) patients attended for follow-up, of whom eight had evidence of continuing cardiac dysfunction and required treatment with diuretics; two patients were known to have died. In five asymptomatic patients the electrocardiogram had reverted to normal and three patients had further pregnancies without relapse. The bipolar distribution of onset of symptoms in relation to pregnancy was suggestive of two different pathological processes. There was no evidence that cultural habits played any significant part in the aetiology of peripartum cardiac failure in The Gambia.
在两年时间里，班珠尔皇家维多利亚医院共收治了27例围产期心力衰竭患者，另有1例患者在分娩6个月后出现因扩张型心肌病继发的脑栓塞。5例（18%，P<0.001）患者为双胎妊娠。17例（63%）患者前来复诊，其中8例有持续心脏功能障碍的证据，需要使用利尿剂治疗；已知有2例患者死亡。5例无症状患者的心电图已恢复正常，3例患者再次妊娠且未复发。症状发作与妊娠的双相分布提示存在两种不同的病理过程。没有证据表明文化习惯在冈比亚围产期心力衰竭的病因中起任何重要作用。
