臨床醫(yī)學畢業(yè)論文


探討并發(fā)急性心力衰竭的剖宮產(chǎn)術(shù)后病人的治療與預(yù)防

摘要 目的 針對孕足月的產(chǎn)婦，在經(jīng)產(chǎn)道分娩有難產(chǎn)因素或其他因素時，選擇行子宮下段剖宮產(chǎn)的患者，進行探討術(shù)后并發(fā)急性心衰的原因、治療及預(yù)防。方法 對10例剖宮產(chǎn)后并發(fā)急性心衰的臨床病例。進行回顧性分析。結(jié)果 剖宮產(chǎn)后并發(fā)急性心衰的10例中，8例妊高征心臟病，占80%，2例圍生期心肌病，占20%。10例中均有不同程度的低蛋白血癥和輕度貧血，輸液量每天在2000～3100ml。結(jié)論 剖宮產(chǎn)后并發(fā)急性心衰的主要原因是妊高征心臟病、過量的輸液，在預(yù)防上有重要意義。合理治療，療效滿意。

關(guān)鍵詞：剖宮產(chǎn)后并發(fā)急性心衰；預(yù)防；合理治療

To investigate the treatment and prevention of Post Cesarean section patients complicated with acute heart failure.

Abstract: objective to full-term parturient with vaginal delivery, dystocia factor or other factors, choose cesarean section patients, discusses the causes, treatment and prevention of acute heart failure after operation. Methods the clinical records of 10 cases of cesarean section in patients with acute heart failure. Retrospective analysis. Results of 10 cases of cesarean section in patients with acute heart failure, 8 cases of pregnancy induced hypertension heart disease, accounting for 80%, 2 cases of peripartum cardiomyopathy, accounted for 20%. In all 10 cases of hypoalbuminemia in different degree and mild anemia, transfusion quantity every day in the 2000 ~ 3100ml. Conclusion the main causes of cesarean patients with acute heart failure is the infusion of heart disease, an excess of PIH, has the vital significance in the prevention. Reasonable treatment, curative effect satisfaction.

Keywords: the cesarean section complicated with acute heart failure; prevention; treatment