严重呼吸功能障碍作为暴发性围产期心肌病（PPCM）的体征。
Massive respiratory dysfunction as sign of fulminant peripartum cardiomyopathy (PPCM).
作者信息
Freerksen Nele, Jaekel Jörg, Menon Ares Krishna, Maass Nicolai, Bauerschlag Dirk
机构信息
Department of Obstetrics and Gynecology, University Hospital Aachen, Aachen, Germany.
出版信息
Hypertens Pregnancy. 2012;31(4):451-3. doi: 10.3109/10641955.2012.679014.
OBJECTIVE
Case report of a 35-year-old gravida 3, para 2, at 40 + 6 weeks with massive respiratory dysfunction with need of oxygenation, requiring cesarean section.
CASE REPORT
Postpartum investigations revealed pathological cardiomegaly with left ventricular failure (NYHAIV). Cardiac biopsy diagnosed postpartum dilatative cardiomyopathy. Despite medication with bromocriptine and levosimendan, cardiac function continued to decrease, requiring surgical intervention and implantation of an intracorporal, left ventricular assist device. Following surgery, cardiac function progressively improved and stabilized.
OBJECTIVE
Peripartum cardiomyopathy (PPCM) is a rare, pregnancy-induced disease and requires an interdisciplinary approach for diagnostics and therapeutical treatment.
目的
报告一例35岁、孕3产2、孕40 + 6周的患者，出现严重呼吸功能障碍，需要氧疗，需行剖宫产术。
病例报告
产后检查发现病理性心脏肥大伴左心室衰竭（纽约心脏协会心功能IV级）。心脏活检诊断为产后扩张型心肌病。尽管使用了溴隐亭和左西孟旦治疗，心功能仍持续下降，需要手术干预并植入体内左心室辅助装置。术后，心功能逐渐改善并稳定。
目的
围产期心肌病（PPCM）是一种罕见的妊娠诱发疾病，诊断和治疗需要多学科方法。
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