摘要
目的分析高龄妊娠合并急性左心衰竭的临床救治方法。方法将2013年3月至2014年3月27例高龄妊娠合并急性左心衰竭患者作为本次研究对象,在给予强心利尿以及扩血管等常规治疗的基础上采用剖宫产或者阴式侧切术处理。分别在治疗前后观察本组患者心率、左室射血分数、血压、左室舒张末直径以及血氧饱和度的改善情况。结果治疗后,入组患者病情均得到有效控制,其中剖宫产手术共计24例,阴式侧切术3例,均顺利分娩。治疗后患者的血氧饱和度、心率、呼吸、中心静脉压均明显优于治疗前,前后差异具有统计学意义(P<0.05)。治疗后患者的左室舒张末直径(47.7±6.3)mm,左室射血分数(57.1±4.8)%,均明显优于治疗前(P<0.05)。结论在积极给予药物治疗的基础上联用手术可有效纠正合并急性左心衰的高龄妊娠患者的临床症状,挽救患者生命,效果显著,值得推广应用。
Objective To analyze the clinical treatment of elderly pregnancy complicated with acute left heart failure. Methods 27 cases of elderly pregnancy merge acute left heart failure patient from March 2013 to March 2014 were selected for the study,given the strong heart diuresis,vasodilator and other conventional treatment combined with cesarean section or vaginal lateral incision. Heart rate,blood pressure,left ventricular ejection fraction,left ventricular end diastolic diameter and blood oxygen saturation of the 27 cases were observed before and after treatment. Results After treatment,all the patients enrolled had been effectively controlled,in which 24 cases were cesarean section,3 cases were lateral vaginal surgery,and all babies. After treatment,the patient＇s oxygen saturation,heart rate,respiration,central venous pressure were significantly better than before treatment,there was statistical significance（ P〈0. 05）. After treatment,the patient＇s left ventricular end-diastolic diameter was（ 47. 7 ± 6. 3） mm,left ventricular ejection fraction was（ 57. 1 ± 4. 8） %,were significantly better than before treatment（ P〈0. 05）. Conclusions The clinical symptoms effectively correct combined with acute left heart failure in elderly patients with pregnancy operation combined with active treatment,to save the lives of patients,the effect is significant,worthy of promotion and application.
出处
《齐齐哈尔医学院学报》
2015年第28期4238-4239,共2页
Journal of Qiqihar Medical University
关键词
妊娠
高龄
急性左心衰竭
救治
手术
Pregnancy
Elderly
Acute left heart failure
Treatment
Operation
