Lee Jae-Young, Kwon Hyun-Jung, Park Sang-Wook, Lee Yu-Mi
Department of Anesthesiology and Pain Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea.
Medicine (Baltimore). 2017 Jan;96(1):e5536. doi: 10.1097/MD.0000000000005536.
The physiological changes associated with pregnancy may predispose pregnant women to pulmonary edema. Other known causes of pulmonary edema during pregnancy include tocolytic drugs, preeclampsia, eclampsia, and peripartum cardiomyopathy.
We describe a rare case of pulmonary edema caused by takotsubo cardiomyopathy in a pregnant woman at 14 weeks of gestation who was undergoing emergency transvaginal cervical cerclage.
Intraoperative chest radiography revealed severe pulmonary edema and echocardiography indicated moderate left ventricular dysfunction with akinesia of the mid to apical left ventricular wall segment, which is reflective of takotsubo cardiomyopathy.
With early detection and appropriate management, the patient was stabilized in a relatively short period of time. Based on her clinical signs and symptoms, we suspect that the pulmonary edema was caused by takotsubo cardiomyopathy.
与妊娠相关的生理变化可能使孕妇易患肺水肿。孕期肺水肿的其他已知原因包括宫缩抑制剂、先兆子痫、子痫和围产期心肌病。
我们描述了一例罕见的妊娠14周孕妇因应激性心肌病导致肺水肿的病例，该孕妇正在接受急诊经阴道宫颈环扎术。
术中胸部X线检查显示严重肺水肿，超声心动图显示左心室中度功能障碍，左心室壁中段至心尖段运动减弱，这是应激性心肌病的表现。
通过早期检测和适当治疗，患者在相对较短的时间内病情稳定。根据她的临床症状和体征，我们怀疑肺水肿是由应激性心肌病引起的。
