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1、·中文論文摘要·圍生期心肌病66例臨床特征分析目的總結(jié)圍生期心肌病(PPCM)的臨床特點(diǎn),分析與其疾病轉(zhuǎn)歸的主要相關(guān)因素,指導(dǎo)臨床診斷治療。方法以文獻(xiàn)論著資料對(duì)照,總結(jié)分析盛京醫(yī)院收治圍生期心肌病患者的臨床特點(diǎn)。病例資料:盛京醫(yī)院自2003年1月""2008年12月共收治圍生期心肌病病例66例。PPCM診斷標(biāo)準(zhǔn):對(duì)于發(fā)生于妊娠期晚期至產(chǎn)后6個(gè)月的擴(kuò)張性心肌病,其特征為既往無(wú)心血管疾病病史的孕婦,出現(xiàn)心肌收縮功能障礙和充血型心力衰竭。評(píng)價(jià)標(biāo)準(zhǔn):心功能評(píng)價(jià):美國(guó)紐約心臟病協(xié)會(huì)(NYHA)分級(jí)(1928)。預(yù)后評(píng)價(jià):顯效(心功能好轉(zhuǎn)大于等于2級(jí)),有效(心功能
2、好轉(zhuǎn)大于1級(jí)),無(wú)效(心功能未好轉(zhuǎn)或惡化)。統(tǒng)計(jì)學(xué)方法:計(jì)量資料以均值±標(biāo)準(zhǔn)差表示。馇里耋日7R盛京醫(yī)院收治圍生期心肌病患者有如下特點(diǎn):平均年齡偏小(28.3歲),高齡產(chǎn)婦少見(jiàn)(9.1%),初產(chǎn)婦多(81.8%),產(chǎn)前發(fā)作多(68.2%),單胎多(71.2%),有33.3%的患者左室EF值大于50%,治療方面產(chǎn)后均按心衰常規(guī)治療,未常規(guī)抗凝,產(chǎn)后有4.5%(3例)合并肺梗塞,95.5%(63例)患者好轉(zhuǎn)出院,平均住院日在11.5日,入院心功能差的患者治療時(shí)間長(zhǎng)。結(jié)論盛京醫(yī)院收治PPCM患者與國(guó)內(nèi)外流行病學(xué)特點(diǎn)有明顯差異。國(guó)內(nèi)圍生期心肌病診斷標(biāo)準(zhǔn)制定尚需更
3、加嚴(yán)格,對(duì)于左室EF值大于50%患者的診斷需要謹(jǐn)慎。對(duì)于圍生期心肌病是否應(yīng)常規(guī)抗凝治療需要進(jìn)一步臨床研究。關(guān)鍵詞圍生期心肌病;臨床特征:●英文論文摘要Peripartumcardiomyopathypatientsclinicalrioartumoatientscharacteristicsof66casesObjectivesSummaryofPeripartumcardiomyopathy(PPCM)Clinicalcharacteristicsofdiseaseprognosisanditsmainriskfactorsforclinicaldia
4、gnosisandtreatmentguidanceMethodsOnthecontroloftheliteratureinformation,analysisofShengjinghospitalperipartumcardiomyopathypatientsclinicalcharactenstics.CaseInformation:ShengiingHospitalsinceJanuary2003—-December2008weredignosedPeripartumcardiomyopathyof66cases.Diagnosticcriteri
5、aforPPCM:Foroccurredinlatepregnancyto6monthspost-partumdilatedcardiomyopathy,characterizedbynopasthistoryofcardiovasculardiseaseinpregnantwomen,theeme唱enceofmyocardialcontractiledysfunctionandcongestiveheartfailure.Evaluationcriteria:evaluationofcardiacfunction:NewYorkHeartAssoci
6、ation(NYHA)classification(1928).Prognosis:markedly(greaterthanorequaltoimprovedcardiacfunction2),effective(improvementincardiacfunctionisgreaterthan1),invalid(noimprovementincardiacfunctionordeterioration).Statisticalmethods:themeasurementdatathatthemean±standarddeviation.Results
7、Shengjinghospitalpatientswithperipartumcardiomyopathyhavethefollowingcharacteristics:lowaverageage(28.3years),oldermothersrare(9.1%),moreprimipara(81.8%),morepre-natal(68.2%),sin#e—childmore(71.2%),33.3%ofpatientshaveleftventricularEFgreaterthan50%,post·nataltreatmentofheartfailu
8、reaccordingtoconventionaltreatment,notco