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超声心动图组织多普勒成像可帮助床边鉴别妊娠肺水肿:病例报告。

Echocardiography with tissue Doppler imaging may help in bedside differential diagnosis of pulmonary oedema in pregnancy: case report.

机构信息

Department of Anaesthesiology and Intensive Care, ASP Syracusa, Syracuse, Italy.

Department of Anaesthesiology and Intensive Care, University Hospital Waterford, Waterford, Ireland.

出版信息

Anaesthesiol Intensive Ther. 2022;54(1):91-93. doi: 10.5114/ait.2022.113733.

DOI:10.5114/ait.2022.113733
PMID:35266374
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10156485/
Abstract

The impact of diuretics on the foetus is controversial, and thus they are not preferred during pregnancy [1]. Excessive fluid retention during late pregnancy can lead to acute pulmonary oedema (APO), which increases the foeto-maternal morbidity and mortality [2, 3]. Reported incidence is about 0.08%, which can become 1.5% in pre-eclampsia [2-4]. Although most commonly reported during late pregnancy and early puerperium, the occurrence of APO during labour is very rare [2, 3].

摘要

利尿剂对胎儿的影响存在争议,因此在怀孕期间不推荐使用[1]。妊娠晚期过度的液体潴留可导致急性肺水肿(APO),增加母婴发病率和死亡率[2,3]。据报道,发病率约为 0.08%,在子痫前期可增加至 1.5%[2-4]。尽管 APO 最常发生于妊娠晚期和产褥早期,但在分娩期间发生 APO 非常罕见[2,3]。

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2
ARDS Cannot Be Accurately Differentiated From Cardiogenic Pulmonary Edema Without Systematic Tissue Doppler Echocardiography.若无系统性组织多普勒超声心动图检查,急性呼吸窘迫综合征无法与心源性肺水肿准确鉴别。
Chest. 2018 Jul;154(1):226-227. doi: 10.1016/j.chest.2018.03.036.
3
Acute pulmonary edema in an obstetric intensive care unit: A case series study.产科重症监护病房中的急性肺水肿:一项病例系列研究。
Medicine (Baltimore). 2018 Jul;97(28):e11508. doi: 10.1097/MD.0000000000011508.
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Combination of copeptin, placental growth factor and total annexin V microparticles for prediction of preeclampsia at 10-14 weeks of gestation.联合使用 copeptin、胎盘生长因子和总膜联蛋白 V 微颗粒预测 10-14 孕周的子痫前期。
Placenta. 2017 Oct;58:67-73. doi: 10.1016/j.placenta.2017.08.009. Epub 2017 Aug 17.
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Surviving Sepsis Campaign: International Guidelines for Management of Sepsis and Septic Shock: 2016.拯救脓毒症运动:脓毒症和脓毒性休克管理国际指南:2016 年版。
Intensive Care Med. 2017 Mar;43(3):304-377. doi: 10.1007/s00134-017-4683-6. Epub 2017 Jan 18.
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Recommendations for the Evaluation of Left Ventricular Diastolic Function by Echocardiography: An Update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging.超声心动图评估左心室舒张功能的建议:美国超声心动图学会和欧洲心血管影像学会的更新
J Am Soc Echocardiogr. 2016 Apr;29(4):277-314. doi: 10.1016/j.echo.2016.01.011.
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