天津医药 ›› 2019, Vol. 47 ›› Issue (10): 1092-1095.doi: 10.11958/20191225

• 临床研究 • 上一篇    下一篇

妊娠合并脊柱畸形、心衰成功抢救一例

南连玲 1,李杰 1,张红 1,白玉芳 2△   

  1. 1青海大学研究生院(邮编810000);2青海大学附属医院
  • 收稿日期:2019-04-25 修回日期:2019-08-30 出版日期:2019-10-15 发布日期:2019-11-11
  • 通讯作者: 南连玲 E-mail:15836010787@163.com
  • 基金资助:
     

A case of successful rescued pregnancy patient with spinal deformity and heart failure

NAN Lian-ling1, LI Jie1, ZHANG Hong1, BAI Yu-fang2△   

  1. 1 Graduate School of Qinghai University, Qinghai 810000, China; 2 The Affiliated Hospital of Qinghai University
  • Received:2019-04-25 Revised:2019-08-30 Published:2019-10-15 Online:2019-11-11
  • Contact: Lianling Nan E-mail:15836010787@163.com
  • Supported by:
     

摘要: 摘要:妊娠合并心脏病是最常见的非直接产科死因,是孕产妇死亡的第二高危因素,由于妊娠期孕妇身体的正 常生理改变,妊娠合并心衰最常发生于妊娠32~34周、分娩期及产后3 d,对于有潜在心衰危险的孕妇,密切关注患者 生命体征、选择适宜的时机及方式终止妊娠对患者预后至关重要。本文报告1例27岁,身高1.45 m的身材矮小患 者,2岁时因外伤导致严重脊柱侧后凸畸形,后因反复上呼吸道感染形成鸡胸畸形,在妊娠晚期出现早期心衰表现并 发展为NYHA心衰等级Ⅲ级,最终剖宫产终止妊娠,随访6个月,母女健康。

关键词: 妊娠并发症, 心血管, 剖宫产术, 鸡胸, 妊娠合并心脏病, 脊柱畸形

Abstract: Abstract: Pregnancy with heart disease is the most common cause of non-direct obstetric death and the second highest risk factor for maternal mortality. Because of the normal physiological changes of pregnant women, pregnancy with heart failure usually occurs in the 32-34 weeks of gestation, the delivery period and three days after delivery. For pregnant women with potential risk of heart failure, it is very important to pay close attention to the vital signs of patients, to choose the suitable time and mode to terminate pregnancy for the prognosis of patients. We report a 27-year-old patient with a short height of 1.45 meters. At the age of two, severe kyphoscoliosis was caused by trauma. Later, due to repeated upper respiratory tract infections, pectus carinatum was formed. In late stage of the pregnancy, early stage of heart failure appeared and developed to grade Ⅲ of NYHA heart failure. Finally, The pregnancy was terminated by cesarean section to help the patient give birth, both mother and child were healthy in six months of follow up.

Key words: pregnancy complications, cardiovascular, cesarean section, pectus carinatum, pregnancy with heart disease, spinal deformity

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