2014-2016年印度尼西亚泗水Soetomo医生医院围产期心肌病(PPCM)妊娠和先兆子痫的特征

Dibya Arfianda, B. Wicaksono, K. E. Gumilar, A. Andrianto
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引用次数: 2

摘要

目的:介绍PPCM和PE合并妊娠的特点。PPCM患者的治疗方法与急性或慢性心力衰竭患者几乎相同,均采用药物治疗。PPCM和先兆子痫(PE)是两种相关疾病,尽管没有直接关系。两者具有相似的病理生理机制。病例报告:我们报告了3年内在Dr. Soetomo医院发生的25例PPCM妊娠病例。资料收集时间为2014年1月至2016年12月,其中PPCM 5例,PPCM合并PE 20例。结论:妊娠合并PPCM- pe的发病率高于单纯PPCM。如果在妊娠晚期发现心衰症状,且患者有危险因素,如年龄0 ~ 30岁、多胎、肥胖、多胎妊娠,应立即确定PPCM的诊断。
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Characteristics of Peripartum Cardiomyopathy (PPCM) pregnancy and preeclampsia in Dr Soetomo Hospital, Surabaya, Indonesia, 2014-2016
Objectives: to present data on the characteristics of pregnancy with PPCM and PE. Management of patients with PPCM is almost the same as for patients with acute or chronic heart failure, which uses drug therapy. PPCM and preeclampsia (PE) are two related diseases, although not directly. Both have similar pathophysiological mechanisms.Case Report: We present 25 pregnancy cases with PPCM at Dr. Soetomo Hospital within 3 years. Data were collected from January 2014 to December 2016, consisting of 5 PPCM cases and the other 20 cases were PPCM with PE cases.Conclusion: Pregnancy with PPCM-PE has higher morbidity than PPCM only. The diagnosis of PPCM should be established immediately if heart failure symptoms are found in the third trimester and the patient has risk factors, such as age >30 years, multigravida, obesity, and multiple pregnancy.
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