论文部分内容阅读
急性左心衰竭是重度妊高征的一种严重并发症。我院自1984年以来共诊治5例,其中2例死亡,另3例用硝普钠治疗后,经剖宫产取得良好效果。例1.朱××,25岁,住院号226168。孕42周初孕。因全身水肿加重,心跳、气短、咳嗽及头痛5天于1985年1月29日晚入院。体检:Bp150/90mmHg,P126次/分,端坐呼吸,全身发绀、水肿,两肺干湿罗音,心律整,尿蛋白(++),红细胞压积41％,妊高征眼底。次晨BP200/100mmHg,心率150次/分,双肺满布水泡音,ECG示房速。即吸氧,注西地兰、杜冷丁、速尿、并用Rigitin 30mg加入10％葡萄糖液300ml中静滴,经一个半小时观察无效,改用硝普钠
Acute left heart failure is a serious complication of severe pregnancy-induced hypertension. In our hospital since 1984, 5 cases were diagnosed and treated, of which 2 cases died and the other 3 cases were treated with sodium nitroprusside after cesarean section and achieved good results. Example 1. Zhu × ×, 25 years old, hospital number 226168. 42 weeks pregnant first pregnancy. Due to systemic edema, heart rate, shortness of breath, cough and headache for 5 days in January 29, 1985 night. Physical examination: Bp150 / 90mmHg, P126 times / min, sitting breathing, systemic cyanosis, edema, dry and wet rales of both lungs, whole heart rhythm, urinary protein (++), hematocrit 41%, PIH fundus. The next morning BP200 / 100mmHg, heart rate 150 beats / min, lungs covered with blisters sound, ECG showed atrial tachycardia. That is, oxygen, injection cedilanid, dolantin, furosemide, and Rigitin 30mg added 10% glucose solution 300ml intravenous, after an hour and a half observation is invalid, the switch to sodium nitroprusside