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妊娠剧吐的心电图变化。

ECG changes in hyperemesis gravidarum.

作者信息

Mitchell Sophie Jessica, Cox Patricia

机构信息

Department of Obstetrics and Gynaecology, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.

出版信息

BMJ Case Rep. 2017 Jan 4;2017:bcr2016217158. doi: 10.1136/bcr-2016-217158.

Abstract

This is a case report of a 30-year-old patient presenting at advanced gestation with hyperemesis, who developed a prolonged QT interval secondary to electrolyte imbalance during recovery. This potentially fatal complication should be considered in all patients with hyperemesis gravidarum, especially after a prolonged period of starvation. We hope to highlight the importance of ECG monitoring and careful prescribing in such cases, something that is not considered in current guidelines.

摘要

这是一例30岁患者的病例报告,该患者在妊娠晚期出现妊娠剧吐,恢复期间因电解质失衡导致QT间期延长。对于所有妊娠剧吐患者,尤其是在长期饥饿后,都应考虑这种潜在的致命并发症。我们希望强调在此类病例中进行心电图监测和谨慎开药的重要性,而这一点在当前指南中并未提及。

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ECG changes in hyperemesis gravidarum.妊娠剧吐的心电图变化。
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本文引用的文献

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Clinical practice. Nausea and vomiting in pregnancy.临床实践。妊娠期恶心与呕吐
N Engl J Med. 2010 Oct 14;363(16):1544-50. doi: 10.1056/NEJMcp1003896.
3
Causes and management of drug-induced long QT syndrome.药物性长QT综合征的病因及管理
Proc (Bayl Univ Med Cent). 2010 Jul;23(3):250-5. doi: 10.1080/08998280.2010.11928628.
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Refeeding syndrome.再喂养综合征
BMJ. 2004 Apr 17;328(7445):908-9. doi: 10.1136/bmj.328.7445.908.

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