一名怀孕21周妇女出现胸痛、呼吸急促和ST段抬高：诊断与管理挑战
Chest pain, breathlessness and ST elevation in a 21-weeks' pregnant woman: a diagnostic and management challenge.
作者信息
Butcher Charles J, Plymen Carla M, Walker Fiona
机构信息
Brompton and Harefield NHS Hospital Trust, London, UK.
出版信息
BMJ Case Rep. 2010 Dec 14;2010:bcr0320102853. doi: 10.1136/bcr.03.2010.2853.
Abstract
This case highlights the importance of differentiating between normal physiological changes of pregnancy and symptoms that are pathological. It discusses the presentation of heart failure during pregnancy and the differential diagnoses that should be considered. It also highlights the difficult management decisions that may have to be made in order to protect maternal health.
摘要
该病例突出了区分妊娠正常生理变化与病理性症状的重要性。它讨论了妊娠期心力衰竭的表现以及应考虑的鉴别诊断。它还强调了为保护孕产妇健康可能不得不做出的艰难管理决策。
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Chest pain, breathlessness and ST elevation in a 21-weeks' pregnant woman: a diagnostic and management challenge.一名怀孕21周妇女出现胸痛、呼吸急促和ST段抬高：诊断与管理挑战
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本文引用的文献
1
Pregnancy-associated cardiomyopathy: clinical characteristics and a comparison between early and late presentation.妊娠相关心肌病：临床特征及早期与晚期表现的比较
Circulation. 2005 Apr 26;111(16):2050-5. doi: 10.1161/01.CIR.0000162478.36652.7E.
2
Peripartum Cardiomyopathy.围产期心肌病
Curr Treat Options Cardiovasc Med. 2001 Dec;3(6):469-480. doi: 10.1007/s11936-001-0021-x.
3
Peripartum cardiomyopathy: National Heart, Lung, and Blood Institute and Office of Rare Diseases (National Institutes of Health) workshop recommendations and review.围产期心肌病：美国国立心肺血液研究所和罕见病办公室（美国国立卫生研究院）研讨会建议与综述
JAMA. 2000 Mar 1;283(9):1183-8. doi: 10.1001/jama.283.9.1183.
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