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高原低氧性肺动脉高压并发重度子痫前期1例

High-altitude hypoxic pulmonary hypertension complicated with severe preeclampsia:Report in one case

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【作者】 彭玲; 陈茂林;

【Author】 PENG Ling;CHEN Maolin;Department of Obstetrics,Ma′anshan Maternal and Child Health Hospital;

【机构】 马鞍山市妇幼保健院产科;

【摘要】 目的:探讨高原低氧性肺动脉高压(HAPH)患者妊娠期间病理改变、临床特征及治疗方案。方法:回顾分析马鞍山市妇幼保健院1例孕晚期HAPH、严重低氧血症、高原性心脏病,同时并发重度子痫前期、胎儿宫内生长受限患者的诊治经过,并复习相关文献资料。结果:患者剖宫产终止妊娠后并发产后出血,经救治后最终母儿结局良好。结论:平原地区遇到HAPH合并妊娠临床中非常罕见,产科医生需提高对交叉学科知识的了解。

【Abstract】 Objective:To investigate the pathological changes, clinical characteristics and treatment plan in patients during pregnancy complicated with high-altitude pulmonary hypertension.Methods:Retrospective analysis was performed in one case of late pregnancy complicated with moderate high-altitude pulmonary hypertension, severe hypoxemia, high altitude heart disease, serious preeclampsia and intrauterine growth restriction of the fetus treated in our hospital, and related literatures were reviewed.Results:After termination of pregnancy by cesarean section, the patient was complicated by postpartum bleeding, yet the mother and the fetus were saved.Conclusion:Plateau pulmonary hypertension combined with pregnancy is very rare in plain areas, obstetricians need to improve their understanding of interdisciplinary knowledge.

【基金】 马鞍山市科技计划项目(YL-2020-03)
  • 【文献出处】 皖南医学院学报 ,Journal of Wannan Medical College , 编辑部邮箱 ,2022年05期
  • 【分类号】R714.244;R714.252
  • 【下载频次】21
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