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Severe PIH complicated with acute left ventricular failure analysis


. Prone to failure; severe edema, body Shuinazhuliu heavier burden on the heart; metabolic acidosis can decrease myocardial contractile force, while enabling faster heart rate, caused by worsening heart failure; upper respiratory tract infection, especially in the winter or when temperatures mutation; other perinatal factors, fatigue and improper expansion of treatment. 2 or more coexisting factors such as pregnancy-induced hypertension heart failure is more likely to occur. The basic pathological changes of pregnancy-induced hypertension is systemic small artery spasm, cardiac low and high emission of 5f 【resistance. Vasodilators can effectively lower blood pressure. The heart of the low-emission high-ranked high resistance to low resistance, reducing the heart before and after the load, can be used as the preferred treatment. The group generally use the expansion of resistance arteries, phentolamine, clinical blood volume is too high performers have, plus two drug combination with nitroglycerin. Effect enhanced. These drugs ineffective, the choice of adding sodium nitroprusside or phentolamine Laming Jia dobutamine dobutamine combination. Better l - 3J, also reported by ANP infusion therapy + natriuretic available, lower blood pressure _4 one. At the same time with the cardiac, diuretic drugs can significantly improve the efficacy of heart failure induced hypertension. For severe pregnancy-induced hypertension, the use of vasodilators can prevent pregnancy-induced hypertension heart failure J. We use intravenous route of administration method, rapid onset, ease of dose adjustment at any time. Pregnancy-induced hypertension and heart failure, due to hemodynamic changes during pregnancy. Simple drug therapy of heart failure difficult to control. Thus, in the heart failure drug control 6O active termination of pregnancy is to save both mother and child life effective measures. The group 2 patients into the hospital when in labor, once the whole cervix,[link widoczny dla zalogowanych], or fetal head immediately suction forceps assisted delivery, reduce the heart in the second stage the burden of breath on exertion. 5 cases of heart failure after controlling for patients not in labor,[link widoczny dla zalogowanych], cervical conditions are not ripe, labor can not be estimated at the end in the short term, early termination of pregnancy choose cesarean section. L0 cases of heart failure can not control another person been drawn up to the end of pregnancy, cesarean section, and we do not have to wait until the heart failure that control 24-48h, in order to avoid repeated episodes of heart failure in the waiting period. Continuous epidural anesthesia during cesarean section select,[link widoczny dla zalogowanych], make movement decreased pulse pressure, blood vessel expansion, change thy blood less, reducing the heart before and after the load, is conducive to heart failure control. L hydatidiform mole in this group of patients, menopausal l9 Zhou Fasheng PIH heart failure,[link widoczny dla zalogowanych], suggesting that molar pregnancy-induced hypertension and heart failure occurs, the onset ask early. Ferocious disease, heart Yuan to clean government can not control the operation when the mole as a good way to discharge. The incidence of pregnancy-induced hypertension led to IUGR l0.5% ~ 30% + perinatal mortality luGR group 77.67 ‰, while the same group of normal weight l5.44 ‰ perinatal mortality rate was only one. L8 cases in this group, there IuGR7 cases, 6 cases of perinatal death, the reason for the rhyme basic pathological changes induced hypertension systemic small artery spasm, reduction of uteroplacental blood flow, placental pathology and biochemical changes to the fetal development slow growth or stagnation, a sharp decline in placental function during heart failure,[link widoczny dla zalogowanych], can cause fetal death. In addition, severe pregnancy-induced hypertension and congestive heart failure, often to save the mother as indications for emergency termination of pregnancy, causing premature delivery rate and failed to promote fetal lung maturation treatment, neonatal mortality increased. Therefore, early detection and timely treatment induced hypertension, heart failure can not only reduce the incidence of pregnancy-induced hypertension, but also reduce the incidence of IUGR and perinatal mortality.
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