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病例分析 围产期心肌病(PPCM)4例,30岁以下初次妊娠者3例,34岁第二次妊娠1例,分别于产前9天至产后两个月发病。病前均有上呼吸道感染史,既往无心脏病史。症状:心悸、气短、咳嗽、端坐呼吸及尿少。3例咯血,体征有血压增高17.3～25.3/13.1～17.3kPa(130～190/98～130mmHg)。心脏增大,奔马律3例,两肺湿罗音、肝肿大、水肿。尿检异常3例,蛋白(+～++),镜检有红、白细胞。ECG检查均有窦性心动过速及ST-T改变,Q-T间期延长及电轴右偏2例。UCG检查左心扩大3例,全心扩大1例;2例有心包积液。X线胸片均显示心影增大,肺水肿3例,心包积液1例。入院治疗后血压及尿检均于10天内恢复正常。X线胸片于20～39天恢复正常。UCG检查仅1例于入院8周心脏恢复正常大小,3例
Case analysis 4 cases of perinatal cardiomyopathy (PPCM), 3 cases of first pregnancy under 30 years of age, 34 cases of second pregnancy in 1 case, respectively, 9 days before delivery to postpartum two months of onset. Have a history of upper respiratory tract infection before, no previous history of heart disease. Symptoms: heart palpitations, shortness of breath, cough, sitting and breathing and oliguria. 3 cases of hemoptysis, signs of blood pressure increased 17.3 ~ 25.3 / 13.1 ~ 17.3kPa (130 ~ 190/98 ~ 130mmHg). Heart increased, Benma law 3 cases, two lungs wet rales, hepatomegaly, edema. Urine test abnormalities in 3 cases, protein (+ ~ + +), microscopy with red and white blood cells. ECG examination had sinus tachycardia and ST-T changes, Q-T interval and right axis deviation in 2 cases. UCG examination of left ventricular enlargement in 3 cases, fully expanded in 1 case; 2 cases of pericardial effusion. X-ray showed increased heart shadow, pulmonary edema in 3 cases, 1 case of pericardial effusion. After treatment, blood pressure and urinalysis returned to normal within 10 days. X-ray chest in 20 to 39 days returned to normal. In UCG, only 1 patient returned to normal heart size at 8 weeks after admission, and 3 patients had UCG