重度子痫前期合并二尖瓣狭窄
Severe preeclampsia complicating mitral valve stenosis.
作者信息
Afrangui B, Malinow A M
机构信息
Department of Anesthesiology, University of Maryland School of Medicine, Baltimore, USA.
出版信息
Reg Anesth Pain Med. 1998 Mar-Apr;23(2):204-9. doi: 10.1097/00115550-199823020-00016.
BACKGROUND AND OBJECTIVES
We present a report of a parturient with severe mitral valve stenosis diagnosed during a previous pregnancy who developed severe preeclampsia.
METHODS
Labor and subsequent abdominal delivery were managed with epidural analgesia and anesthesia. The clinical management was guided by invasive hemodynamic monitoring, including a flow-directed pulmonary artery catheter.
CONCLUSIONS
Peripartum maternal and neonatal outcomes were satisfactory. Postpartum complications included pulmonary edema as well as peripartum heart failure and pulmonary thromboembolism 4 weeks postpartum.
背景与目的
我们报告一例曾在孕期被诊断为重度二尖瓣狭窄的产妇，此次发生了重度子痫前期。
方法
采用硬膜外镇痛和麻醉进行分娩及后续剖宫产。临床管理以有创血流动力学监测为指导，包括使用血流导向肺动脉导管。
结论
围产期母婴结局良好。产后并发症包括肺水肿、围产期心力衰竭以及产后4周的肺血栓栓塞。
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