妊娠高血压综合征性心脏病29例临床分析

目的探讨妊娠高血压综合征性心脏病的诱因及防治措施。方法对7年来我院收治的29例妊娠高血压综合征性心脏病患者的临床资料进行回顾性分析。结果29例患者均为重度妊高征,其中合并低蛋白血症19例（65.5%）、中重度贫血10例（34.5%）、肺部感染7例（24.2%）、双胎妊娠2例（6.9%）。所有孕妇均剖宫产终止妊娠,无孕产妇死亡,围生儿死亡2例（6.4%）。结论重度妊高征合并低蛋白血症、中重度贫血、肺部感染、双胎妊娠是妊高征性心脏病的重要原因。对妊高征性心脏病的诱发因素应引起重视,心衰控制后应立即终止妊娠,以减少母婴死亡。

Clinical analysis of 29 cases of cardiopathy of pregnancy - induced hypertension syndrome

Objective： To investigate the inducement and preventive procedure of cardiopathy of pregnancy - induced hypertension syndrome （PIH）. Methods： The clinical findings and outcome of pregnancy were analyzed in 29 patients with cardiopathy of PIH at our hospital in recent 7 years. Results ： All The 29 cases were patients with severe PIH. The inducements of cardiopathy of PIH were hypoproteinemia （65.5%）, moderate to severe anemia （34. 5% ）, pulmonary infection （24. 2% ）, twin pregnancy （6.9%）. All the pregnant women terminated gestation by caesarean section and none was dead. Two neonates were dead and the mortality of neo- nates were 6.4%. Conclusion： The eardiopathy of PIH is related with hypoproteinemia, moderate to severe anemia, pulmonary infection and twin pregnancy. We must pay more attention to the inducement of the eardiopathy of PIH. After controlling the heart failure, we must terminate the pregnancy immediately in order to reduce the death rate of mother and infant.