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妊娠期心肌梗死:两例报告并文献复习

Myocardial infarction during pregnancy: report of two cases with a review of the literature.

作者信息

Husaini M H

出版信息

Postgrad Med J. 1971 Oct;47(552):660-5. doi: 10.1136/pgmj.47.552.660.

Abstract

Two further cases of myocardial infarction during pregnancy are reported. From the review of the literature of forty-three cases of myocardial infarction during pregnancy and labour, it appears that myocardial infarction in the last trimester and labour is frequently fatal. Short-term anticoagulant therapy to suppress any thrombo-embolic tendency is desirable. Termination of pregnancy is indicated for patients in cardiac failure or persistent angina. For patients who are well, either assisted vaginal delivery or Caesarean section are equally good.

摘要

本文报告了另外两例妊娠期心肌梗死的病例。通过对43例妊娠和分娩期心肌梗死文献的回顾发现,妊娠晚期及分娩期的心肌梗死往往是致命的。短期抗凝治疗以抑制任何血栓栓塞倾向是可取的。对于心力衰竭或持续性心绞痛患者,建议终止妊娠。对于情况良好的患者,阴道助产或剖宫产同样适宜。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b889/2467322/2b2d68ca1f1f/postmedj00346-0033-a.jpg

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