妊娠期Takayasu动脉炎1例报告及文献复习。

IF 2.6 3区 医学 Q2 OBSTETRICS & GYNECOLOGY International Journal of Gynecology & Obstetrics Pub Date : 2024-12-20 DOI:10.1002/ijgo.16089
Apeksha Bista, Durga Thapa, Prawesh Neupane, Swati Gupta, Shreyashi Aryal, Jyotshna Sharma
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引用次数: 0

摘要

Takayasu动脉炎(TA)是一种罕见的慢性炎症性疾病,原因不明,主要影响育龄期的年轻女性。它会导致动脉狭窄和闭塞,并在动脉中形成动脉瘤,特别是与主动脉有关的动脉瘤,在怀孕期间产生重大风险。患有TA的妇女更容易患心血管并发症,包括高血压和心力衰竭,这对孕产妇和胎儿健康都有负面影响。本病例报告详细介绍了一名23岁的孕妇在妊娠早期诊断为TA,表现为晕厥和右上肢无脉搏。右上肢多普勒显像证实了诊断。在全面产前护理的同时,还开始了对TA的治疗。在妊娠晚期,她也出现了妊娠高血压。在怀孕36周时,由于前置胎盘和早产胎膜早破,进行了紧急剖宫产手术。及时的医疗干预取得了良好的结果,产后恢复顺利。该病例强调了对患有TA的孕妇进行早期诊断和协作护理的必要性,以确保母亲和孩子都能获得更好的结果。了解TA的临床方面对有效治疗和改善预后至关重要。
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Takayasu's arteritis in pregnancy: A case report and literature review.

Takayasu's arteritis (TA) is a rare, chronic inflammatory disease of unknown cause, primarily affecting young women in their reproductive years. It can result in the narrowing and occlusion of arteries and the formation of aneurysms in arteries, especially those related to the aorta, creating significant risks during pregnancy. Women with TA are more susceptible to cardiovascular complications, including hypertension and heart failure, which can negatively affect both maternal and fetal health. This case report details a 23-year-old pregnant woman diagnosed with TA during the first trimester, presenting with symptoms of fainting and pulselessness in her right upper limb. Doppler imaging of the right upper limb confirmed the diagnosis. Treatment for TA was initiated alongside comprehensive antenatal care. In the third trimester, she also developed gestational hypertension. And at 36 weeks of gestation, due to placenta previa and preterm premature rupture of membranes, an emergency cesarean section was performed. Timely medical intervention resulted in a favorable outcome, with an uneventful postpartum recovery. This case highlights the need for early diagnosis and collaborative care in pregnant women with TA to ensure better outcomes for both mother and child. Understanding the clinical aspects of TA is essential for effective management and improved prognosis.

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来源期刊
CiteScore
5.80
自引率
2.60%
发文量
493
审稿时长
3-6 weeks
期刊介绍: The International Journal of Gynecology & Obstetrics publishes articles on all aspects of basic and clinical research in the fields of obstetrics and gynecology and related subjects, with emphasis on matters of worldwide interest.
期刊最新文献
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