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題名 | Peripartum Cardiomyopathy:A Case Report=剖腹生產後發生妊娠前後心肌病變之病例報告 |
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作者 | 彭翠瑾; 蔡榮財; | 書刊名 | 麻醉學雜誌 |
卷期 | 39:1 2001.03[民90.03] |
頁次 | 頁47-51 |
分類號 | 417.372 |
關鍵詞 | 妊娠心臟血管併發病; 鬱血性心臟衰竭; 心肌病變; Pregnancy complication; Cardiovascular; Heart failure; Congestive; Cardiomyopathy; |
語文 | 英文(English) |
中文摘要 | 妊娠前後的心肌病變是發生于懷孕最後一個月或分娩後五個月內,為十分罕見且不明原因的鬱血性心臟病,死亡率相當高。我們報告一位懷孕36週,孕前無任何特殊疾病,此次因懷雙胞胎而住院接受半身麻醉進行剖腹生產的三十四歲病人,在手術後十五小時發生急性心臟衰竭的症狀,而被診斷為妊娠前後的心肌病變。 |
英文摘要 | Peripartum cardiomyopathy in the form of congestive heart disease of unknown etiology appears relatively rarely during the last month of pregnancy or within 5 months after delivery, and it is potentially life- threatening. This case report describes a 34-year-old female, G4P1, at 36 weeks’ gestation who was admitted for cesarean section under lumbar epidural anesthesia due to twin pregnancy. She had no past history of cardiovascular diseases. Howevet; rapid onset of dyspnea at ward and acute cardiac failure developed 15 h after cesarean section. Penpartum cardiomyopathy was diagnosed. After a 7-day intensive treatment she was discharged. Since then she was symptom-free and her two babies were doing well during a period of one more years after discharge. |
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