文档介绍：临床医学毕业论文-范文
D
Abstract: objective to full-term parturient with vaginal delivery, dystocia factor or other factors, choose cesarean section patients, discusses the causes, treatment and prevention of acute heart failure after operation. Methods the clinical records of 10 cases of cesarean section in patients with acute heart failure. Retrospective analysis. Results of 10 cases of cesarean section in patients with acute heart failure, 8 cases of pregnancy induced hypertension heart disease, accounting for 80%, 2 cases of peripartum cardiomyopathy, accounted for 20%. In all 10 cases of hypoalbuminemia in different degree and mild anemia, transfusion quantity every day in the 2000 ~ 3100ml. Conclusion the main causes of cesarean patients with acute heart failure is the infusion of heart disease, an excess of PIH, has the vital significance in the prevention. Reasonable treatment, curative effect satisfaction.
Keywords: the cesarean section complicated with acute heart failure; prevention; treatment
在现代医学技术飞速发展的时期，剖宫产手术在基层医疗单位普遍广泛开展，术后并发急性心衰的病例并不少见，术后的安全不可忽视。现将我院2013～2016年妇产科剖宫产后并发急性心衰转入内科治疗的10例病人形成心衰的原因、防治措施，进行临床分析，报告如下。
1 临床资料
我院2013～2016年妇产科剖宫产后并发急性心衰转入内科治疗的10例患者均经X线、心电图、超声心动图检查确诊。年龄21～28岁，。急性心衰的严重程度用KilliP分级，Ⅱ级8例，Ⅲ级2例。
2 方法
病因 10例患者均为妊娠足月剖宫产后病人，其中妊高征心脏病8例，诊断符合妊娠高血压综合征性心脏病诊断［4］，占80%。围生期心肌病2例，诊断符合十二版实用内科学围生期心肌病诊断标准，占2