入住重症监护病房患者的产后心肌病；一例罕见病例报告。
Post-delivery cardiomyopathy in a patient admitted to critical care unit; a rare case report.
作者信息
Safavi Mohammadreza, Honarmand Azim, Kashefi Parviz, Heidari Saied Morteza, Safavi Afshin, Hekmat Rita
机构信息
Anesthesiology and Critical Care Research Center, Isfahan University of Medical Sciences, Isfahan, Iran.
出版信息
J Reprod Infertil. 2011 Jan;12(1):37-41.
BACKGROUND
Peripartum cardiomyopathy (PPCM) is an uncommon disease that affects women in the last month of pregnancy or within the first five months postpartum, occurring in about 1 in 3500 live births. The disease bears potentially devastating effects both on mother and the fetus if not treated early in its course.
CASE PRESENTATION
The case was a 34-year old woman with a triple pregnancy who presented to the ward immediately after cesarean section with signs of dyspnea, cyanosis and pulmonary edema. She was diagnosed with PPCM upon echocardiography. The patient improved remarkably despite the PPCM's devastating complications. This case report aims to describe a female patient who developed PPCM after a triple delivery.
CONCLUSION
Regarding the high risks of developing PPCM in subsequent pregnancies and avoiding multiparty, especially in older age, a reliable contraception in childbearing women would be helpful. The best prevention of PPCM is to avoid subsequent pregnancies.
背景
围产期心肌病（PPCM）是一种罕见疾病，影响妊娠最后一个月或产后前五个月的女性，约每3500例活产中发生1例。如果在病程早期未进行治疗，该疾病对母亲和胎儿都可能产生潜在的毁灭性影响。
病例报告
该病例为一名34岁的三胞胎孕妇，剖宫产术后立即因呼吸困难、发绀和肺水肿症状入住病房。经超声心动图检查，她被诊断为围产期心肌病。尽管围产期心肌病有严重并发症，但患者恢复显著。本病例报告旨在描述一名三胞胎分娩后发生围产期心肌病的女性患者。
结论
鉴于后续妊娠发生围产期心肌病的高风险以及避免多胎妊娠，尤其是高龄多胎妊娠，育龄妇女采取可靠的避孕措施会有所帮助。预防围产期心肌病的最佳方法是避免后续妊娠。
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