Mitchell Sophie Jessica, Cox Patricia
Department of Obstetrics and Gynaecology, Chelsea and Westminster Hospital NHS Foundation Trust, London, UK.
BMJ Case Rep. 2017 Jan 4;2017:bcr2016217158. doi: 10.1136/bcr-2016-217158.
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.
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。