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围产期心肌病的急诊剖宫产术。

Emergency cesarean section in peripartum cardiomyopathy.

作者信息

Lata Suman, Prakash M V S Satya, Balachander Hemavathy

机构信息

Department of Anaesthesiology and Critical Care, JIPMER, Pondicherry, India.

出版信息

Anesth Essays Res. 2012 Jan-Jun;6(1):91-3. doi: 10.4103/0259-1162.103386.

Abstract

Peripartum cardiomyopathy (PPCM) is defined as onset of acute heart failure without demonstrable cause in last trimester of pregnancy or within the first 6 months after delivery. We report a case of PPCM with left ventricular ejection fraction less than 25% who had reported to us at 38 weeks of gestation for emergency caesarean section managed with graded epidural anaesthesia. PPCM is a form of dilated cadiomyopathy with left ventricular systolic dysfunction that results in signs and symptoms of heart failure.

摘要

围产期心肌病(PPCM)的定义为在妊娠晚期或产后6个月内出现无明显病因的急性心力衰竭。我们报告一例围产期心肌病患者,其左心室射血分数低于25%,在妊娠38周时因急诊剖宫产前来我院,采用分次硬膜外麻醉进行处理。围产期心肌病是扩张型心肌病的一种形式,伴有左心室收缩功能障碍,可导致心力衰竭的体征和症状。

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