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心肌病和脑缺血在妊娠致死性昏迷诊断中的重要性。

Importance of cardiomyopathy and cerebral ischaemia in the diagnosis of fatal coma in pregnancy.

作者信息

Connor R C, Adams J H

出版信息

J Clin Pathol. 1966 May;19(3):244-9. doi: 10.1136/jcp.19.3.244.

DOI:10.1136/jcp.19.3.244
PMID:5937609
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC473247/
Abstract

A case of cardiomyopathy of pregnancy where death was due to profound cerebral ischaemia is reported. Two other similar cases are mentioned. Awareness of this syndrome may help the pathologist to establish the cause of coma and death in pregnancy when clinical studies have failed to indicate the cause. It is suggested that electrocardiography should be carried out in all cases of apparent cerebrovascular accidents that occur during pregnancy or the puerperium as there may be an underlying cardiomyopathy. The nature and the possible aetiology of cardiomyopathy of pregnancy are briefly discussed.

摘要

报告了一例妊娠心肌病患者,其死亡原因是严重脑缺血。还提及了另外两例类似病例。认识到这种综合征可能有助于病理学家在临床研究未能指明病因时确定妊娠期间昏迷和死亡的原因。建议对妊娠期间或产褥期发生的所有明显脑血管意外病例进行心电图检查,因为可能存在潜在的心肌病。文中简要讨论了妊娠心肌病的性质和可能的病因。

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引用本文的文献

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2
Fatal brain damage associated with cardiomyopathy of pregnancy, with notes on Caesarean section in a hyperbaric chamber.与妊娠心肌病相关的致命性脑损伤,附高压舱剖宫产记录
Br Med J. 1968 Nov 2;4(5626):285-7. doi: 10.1136/bmj.4.5626.285.
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Cerebral strokes associated with pregnancy and the puerperium.与妊娠和产褥期相关的脑卒中

本文引用的文献

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THE HEART IN TOXAEMIA OF PREGNANCY.妊娠中毒症中的心脏
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CHANGES IN BRAIN AND PIAL VESSELS IN ARTERIAL BORDER ZONES; A STUDY OF 13 CASES.动脉边缘区脑及软脑膜血管的变化;13例研究
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Cardiological problems in younger women; including those of pregnancy and the puerperium.年轻女性的心脏问题;包括妊娠和产褥期的心脏问题。
Br Med J. 1963 Jan 26;1(5325):209-16. doi: 10.1136/bmj.1.5325.209.
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Cerebral complications of hypotensive anaesthesia in a healthy adult.健康成年人低血压麻醉的脑部并发症
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Myocarditis of obscure etiology associated with pregnancy.病因不明的与妊娠相关的心肌炎。
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Acute congestive cardiac failue of unknown aetiology in pregnancy: report of a case.妊娠期病因不明的急性充血性心力衰竭:病例报告
J Obstet Gynaecol Br Emp. 1960 Feb;67:131-5.
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Postpartal cardiomyopathy.产后心肌病
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Significance of the concentration of nonprotein-bound plasma cortisol in normal subjects, Cushing's syndrome, pregnancy, and during estrogen therapy.
J Clin Endocrinol Metab. 1960 Nov;20:1484-92. doi: 10.1210/jcem-20-11-1484.