文章摘要
杨晨蝶,金 玮.围产期心力衰竭——中国二胎时期面临的挑战[J].南京医科大学学报,2017,(3):267~270
围产期心力衰竭——中国二胎时期面临的挑战
Perinatal heart failure:a challenge in the new era of two-child policy
投稿时间:2016-01-03  
DOI:10.7655/NYDXBNS20170302
中文关键词: 围产期心力衰竭  先兆子痫  围产期心肌病
英文关键词: perinatal heart failure  preeclampsia  peripartum cardiomyopathy
基金项目:
作者单位
杨晨蝶 上海交通大学医学院附属瑞金医院心内科上海 200025 
金 玮 上海交通大学医学院附属瑞金医院心内科上海 200025 
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中文摘要:
      围产期心力衰竭是指发生在妊娠第28周至产后1周的心力衰竭,由多种病因引起,主要分为心脏基础疾病与非心脏基础疾病,前者以先天性心脏病、风湿性心脏病为主,后者包括妊娠期高血压(尤其是先兆子痫)、围产期心肌病等,诊断时需加以鉴别。围产期心衰的治疗需要强大的多学科团队共同参与,根据不同的病因对症处理,且需兼顾孕妇及胎儿的安全。围产期心衰是中国二胎时期面临的一个重要挑战,有待更为深入的研究。
英文摘要:
      Perinatal heart failure refers to the occurrence of heart failure between 28 weeks of gestation and one week postpartum. Its cause could be divided into two categories: with pre-existing or pregnancy-related cardiovascular diseases, including congenital heart disease, rheumatic heart disease, or gestational hypertension (preeclampsia, especially), peripartum cardiomyopathy, etc. Careful differential diagnosis is required. Treatment of heart failure in pregnant women should always involve a multidisciplinary team approach, targeting at the specific etiology and considering both mother and baby. Prenatal heart failure is a great challenge in our times, demanding more comprehensive studies.
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