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目的探讨围生期并发急性心力衰竭的特点及救治措施。方法回顾性分析2008年2月—2011年7月收治的18例围生期并发急性心力衰竭的孕产妇的临床资料。结果 18例孕产妇中12例应用鼻面罩无创正压通气,6例应用有创机械通气治疗,呼吸困难明显改善,体征消失或减轻。所有孕产妇经机械通气治疗后血气分析、心率、呼吸、平均动脉压、B型脑钠肽等均较治疗前明显改善(均P<0.05)。结论围生期并发急性心力衰竭在常规药物治疗、终止妊娠基础上不能缓解缺氧症状时,使用机械通气治疗纠正缺氧,改善孕产妇临床状态十分有效。
Objective To investigate the characteristics of perinatal acute heart failure and its treatment. Methods The clinical data of 18 pregnant women with perinatal complications complicated with acute heart failure admitted to our hospital from February 2008 to July 2011 were retrospectively analyzed. Results In 18 pregnant women, 12 cases were treated with nasal mask noninvasive positive pressure ventilation, and 6 cases were treated with invasive mechanical ventilation. Their dyspnea was obviously improved and the signs disappeared or alleviated. Blood gas analysis, heart rate, respiration, mean arterial pressure and B-type natriuretic peptide in all pregnant women after mechanical ventilation were significantly improved compared with before treatment (all P <0.05). Conclusions Perinatal complications of acute heart failure can not relieve the symptoms of hypoxia on the basis of routine medical treatment and termination of pregnancy. It is very effective to use mechanical ventilation to correct hypoxia and improve the clinical status of pregnant women.