妊娠合并脾梗死并破裂出血一例

患者25 岁,孕2产0,自然受孕,自然流产1 次.因"停经29 +5周,上腹痛1 d"于2018年4月4日由清远市某医院转入广州医科大学附属第三医院.患者2018年4月3 日凌晨4点无明显诱因于睡眠中出现上腹持续性疼痛,左侧为著,无反射至背部及肩胛区,伴呕吐数次,呕吐物为胃内容物,无头晕、头痛,无视物模糊及耳鸣,无胸痛...     

Splenic artery aneurysm rupture in pregnancy

Splenic artery aneurysm (SAA) is the commonest visceral artery aneurysm. It is diagnosed more frequently in younger women, with up to 95% presenting during pregnancy. Rupture is associated with a disproportionately high maternal and fetal mortality.     

Splenic torsion and rupture in pregnancy

Splenic rupture in pregnancy and the puerperium is a rare and potentially catastrophic event. A case of splenic rupture in pregnancy due to partial torsion and internal trauma of a floating spleen is presented, and represents the 89th pregnancy-puerperal report of splenic rupture. Nineteen additional cases have been identified by the authors over the past 20 years. A 20-year review (1967-1986) of clinical presentations, pathogenesis, and therapy are presented.     

Myocardial infarction in early pregnancy

Acute myocardial infarction (AMI) during pregnancy is usually transmural and occurs in late pregnancy with a peak incidence during the peripartum or postpartum periods. We report a pregnancy-related AMI, which occurring as early as the first trimester, was treated conservatively with antithrombotic and anti-ischemic drugs both acutely and through the rest of the ultimately successful pregnancy.     

Myocardial infarction and pregnancy]

We show a clinic case of a female patient 42 years old that suffered a myocardial infarction by coronary spasm, while she was in her 30th and a half weeks of gestation. We analyze the bases of the diagnostic its evolution and the neonatal complications.     

Myocardial infarction during pregnancy: a review

In the present review the world literature on pregnancy complicated by myocardial infarction is summarized, and two additional cases are presented. It is apparent that the majority of pregnant women who have died after myocardial infarction did so at the time of initial infarction, and maternal mortality was greatest if the infarction was late in pregnancy. Moreover, delivery within two weeks of infarction was associated with increased mortality as was reinfarction during labor. These results suggest that the increasing cardiovascular stresses of late pregnancy, especially when intensified by parturition, seriously compromise women with ischemic heart disease. Efforts should therefore be made to limit myocardial oxygen demand/consumption throughout pregnancy, and particularly during parturition. Although principles of management can be generalized, these high risk patients require individualization of care by a multidisciplinary team of cardiologists, anesthesiologists, and obstetricians.     

Splenic artery aneurysm rupture in pregnancy with maternal and fetal survival. A case report.

A splenic artery aneurysm occurred at 30 weeks, 3 days' gestation. Both the mother and fetus survived.