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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.

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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本文引用的文献

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The Pulmonary Edema Preeclampsia Evaluation (PEPE) Study.肺水肿先兆子痫评估(PEPE)研究
J Obstet Gynaecol Can. 2014 Dec;36(12):1065-1070. doi: 10.1016/S1701-2163(15)30383-2.

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