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妊娠31周时急性心肌梗死的围手术期管理:一例病例报告及文献综述

Perioperative management of acute myocardial infarction in the 31st week of pregnancy: A case report and literature review.

作者信息

Sun Pei, Liang Xin-Quan, Hong Tao, Zhang Hong

机构信息

Department of Anesthesiology and Critical Care Medicine, Peking University First Hospital, Beijing, China.

Department of Cardiology, Peking University First Hospital, Beijing, China.

出版信息

Front Surg. 2022 Nov 2;9:1023551. doi: 10.3389/fsurg.2022.1023551. eCollection 2022.

Abstract

Pregnancy-related acute myocardial infarction (PAMI) is rare but life-threatening. The incidence of PAMI is growing over time for multiple reasons, and the management of parturients with acute myocardial infarction is challenging in terms of diagnosis and treatment. To date, there are still no clear guidelines on the best practice for PAMI. We present a case of a 41-year-old woman with PAMI at 31 weeks of pregnancy. Through multidisciplinary collaboration, successful outcomes were achieved for both the mother and fetus.

摘要

妊娠相关急性心肌梗死(PAMI)虽罕见但危及生命。由于多种原因,PAMI的发病率随时间推移呈上升趋势,且急性心肌梗死产妇的管理在诊断和治疗方面具有挑战性。迄今为止,尚无关于PAMI最佳治疗方案的明确指南。我们报告一例在妊娠31周时发生PAMI的41岁女性病例。通过多学科协作,母婴均取得了成功结局。

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