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目的探索妊娠期高血压疾病合并急性左心功能不全的治疗方法及其效果。方法 80例妊娠期高血压疾病合并急性左心功能不全患者作为治疗组,同期80例单纯妊娠期高血压疾病患者作为对照组,所有患者均在24 h心电监护下实施对症治疗及手术。结果治疗组患者心动过速71.25%,ST段改变65.00%以及心律失常67.50%症状高于对照组的40.00%、41.25%、28.75%,差异具有统计学意义(P<0.05)。治疗组患者新生儿(Apgar)评分与对照组比较,差异有统计学意义(P<0.05)。结论根据心电图变化可以判断患者病情进展情况,在积极控制心力衰竭的同时,抓紧时间术前准备,应用手术终止妊娠,能有效降低母婴围生期死亡率。
Objective To explore the treatment of hypertensive disorders complicating acute left ventricular dysfunction during pregnancy and its effects. Methods Eighty patients with hypertensive disorder complicating pregnancy with acute left ventricular dysfunction were enrolled in the study. 80 cases of hypertensive disorder complicating pregnancy during the same period were taken as control group. All patients underwent symptomatic treatment and operation under 24 hours ECG. Results The tachycardia 71.25%, ST segment 65.00% and arrhythmia 67.50% in the treatment group were significantly higher than those in the control group 40.00%, 41.25% and 28.75%, respectively. The difference was statistically significant (P <0.05). Apgar score in the treatment group was significantly higher than that in the control group (P <0.05). Conclusion According to the change of electrocardiogram, we can judge the progress of the patient’s condition. While actively controlling the heart failure, we should seize the time preoperative preparation and terminate the pregnancy by surgery, which can effectively reduce the perinatal mortality.