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相關文獻
- Fatal Progression of Eisenmenger's Syndrome during Pregnancy
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題名 | Fatal Progression of Eisenmenger's Syndrome during Pregnancy=妊娠合併Eisenmenger氏徵候群之持續惡化導致死亡 |
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作者 | 黃文賢; 鄭丞傑; 朱繼璋; 楊明智; | 書刊名 | 中華民國婦產科醫學會會刊雜誌 |
卷期 | 38:1 1999.03[民88.03] |
頁次 | 頁35-39 |
分類號 | 417.346 |
關鍵詞 | Eisenmenger氏徵候群; 妊娠; Eisenmenger's syndrome; Pregnancy; |
語文 | 英文(English) |
中文摘要 | 背景:妊娠合併 Eisenmenger 氏徵候群雖屬罕見,而它所導致的不良後果與母親 本身的高死亡率迄今仍舊是產科醫師最棘手且最具挑戰性的難題之一。在此我們報導一例最 後導致死亡的孕婦。病例報告:一位二十五歲的年輕婦女因妊娠三十七週合併有心臟衰竭病 徵而被轉介到本院急診。據了解,該孕婦於十六歲時即已藉由心導管證實患有心室中隔缺損 合併嚴重的肺高壓及雙向性左右分流。該孕婦抵達本院後病情迅速惡化。經全身麻醉,進行 緊急剖腹,產下一一名男嬰。產後三小時左右,病患死於心肺衰竭。結論:孕婦如合併有嚴 重性 Eisenmenger 氏徵候群,應及早在妊振中期住院, 接受由相關科別所組成之醫療團隊 的適當診治。一旦孕婦心臟機能變差,應予以轉診,以使其能順利度過懷孕、分娩以及產後 等時期。 |
英文摘要 | Background: Although Eisenmenger's syndrome is rare during pregnancy, it is one of the most difficult challenges for obstetricians, because of its unfavorable prognosis and high maternal mortality. Here, we present a case of fatal Eisenmenger's syndrome complicating pregnancy. Case: A 25-year-old young woman, at 37 weeks' gestation, presented with signs of heart failure and was transferred to our emergency center. At the age of 16, she had a cardiac catheterization which showed a ventricular septal defect and severe pulmonary hypertension with bidirectional shunting. Her clinical course deteriorated rapidly during pregnancy. She delivered a viable male infant in an emergency cesarean section under general anaesthesia. Three hours later she became hypotensive and died of cardiorespiratory failure despite aggressive treatment and intensive care. Conclusion: Special medical care with multidisciplinary team work starting early in the second trimester is important for pregnant women with severe Eisenmenger's syndrome. |
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