可逆性库欣扩张型心肌病酷似围产期心肌病，后续妊娠成功。
Reversible cushing dilated cardiomyopathy mimicking peripartum cardiomyopathy with successful subsequent pregnancy.
作者信息
Al Banna Rashed, Husain Aysha, Al Aali Jalila, Ebrahim Khalid, Mohammed Abdulaziz
机构信息
Medical Department, Salmaniya Medical Complex, Manama, Bahrain.
出版信息
BMJ Case Rep. 2011 Nov 8;2011:bcr0920114825. doi: 10.1136/bcr.09.2011.4825.
Abstract
A 29-year-old lady G4P3A0 has been admitted in her last trimester with features of peripartum cardiomyopathy. She was treated accordingly with comprehensive antifailure therapy. She lost follow-up but reappeared 12 weeks later with further deterioration of her heart failure, severe depression and osteoporotic multiple lumbar fractures. She turned to be having Cushing syndrome secondary to adrenal adenoma. Post adrenalectomy all her symptoms subsided and her cardiac function fully recovered as shown by stress echocardiography. She reconceived with uneventful pregnancy and delivery.
摘要
一位29岁、孕4产3流产0次的女性在妊娠晚期因围产期心肌病入院。她接受了相应的综合抗心力衰竭治疗。她失去了随访，但12周后再次出现，心力衰竭进一步恶化，伴有严重抑郁和骨质疏松性多发腰椎骨折。结果发现她患有继发于肾上腺腺瘤的库欣综合征。肾上腺切除术后，她所有症状均消退，心脏功能如负荷超声心动图所示完全恢复。她再次怀孕，妊娠和分娩过程顺利。
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