Cunningham Curt, Rivera Jesse, Spence Dennis
Navy Nurse Corps Anesthesia Program, San Diego, California, USA.
AANA J. 2011 Jun;79(3):249-55.
Peripartum cardiomyopathy (PPCM) is a rare form of heart failure of unknown etiology that is associated with late pregnancy and the early postpartum period. Although the complete pathogenesis of PPCM is not completely understood, the signs and symptoms are identical to those of left ventricular heart failure. The diagnosis of PPCM is made in a parturient only after other causes of heart failure are ruled out. Management of PPCM is similar to that of congestive heart failure with a few exceptions, such as avoiding the use of angiotensin-converting enzyme inhibitors during pregnancy. This report describes the presentation and anesthetic management of a parturient who was admitted with a diagnosis of severe preeclampsia in whom pulmonary edema and heart failure developed, necessitating emergency cesarean delivery under general anesthesia. The patient was subsequently given a diagnosis of PPCM.
围产期心肌病（PPCM）是一种病因不明的罕见心力衰竭形式，与妊娠晚期和产后早期有关。尽管PPCM的完整发病机制尚未完全明确，但其体征和症状与左心室心力衰竭相同。仅在排除其他心力衰竭病因后，才能对产妇做出PPCM的诊断。PPCM的治疗与充血性心力衰竭相似，但有一些例外情况，例如在孕期避免使用血管紧张素转换酶抑制剂。本报告描述了一名因诊断为重度子痫前期入院的产妇的情况及麻醉处理，该产妇发生了肺水肿和心力衰竭，需要在全身麻醉下进行紧急剖宫产。患者随后被诊断为PPCM。
