Twiggs L B, Morrow C P, Schlaerth J B
Am J Obstet Gynecol. 1979 Sep 15;135(2):189-94. doi: 10.1016/0002-9378(79)90341-7.
Of 128 patients receiving primary treatment for molar pregnancy at Women's Hospital, Los Angeles County/University of Southern California Medical Center, after uterine evacuation 12 (10.7%) developed self-limited, acute pulmonary complications characterized by tachycardia, tachypnea, and hypoxemia. Multiple contributing factors have been identified which include trophoblastic deportation, hyperthyroidism, fluid overload, dilutional anemia, and pre-eclampsia. While the final outcome was uniformly benign in our group, deaths have been reported. These patients are also at an increased risk for postmolar trophoblastic disease. The diagnosis and management of the postmolar pulmonary complications are discussed.
在洛杉矶县妇女医院/南加州大学医学中心接受葡萄胎初次治疗的128例患者中，子宫排空后有12例（10.7%）出现了以心动过速、呼吸急促和低氧血症为特征的自限性急性肺部并发症。已确定多种促成因素，包括滋养细胞排出、甲状腺功能亢进、液体超负荷、稀释性贫血和先兆子痫。虽然我们组的最终结果均为良性，但已有死亡报告。这些患者发生葡萄胎后滋养细胞疾病的风险也增加。本文讨论了葡萄胎后肺部并发症的诊断和处理。
