棋牌大全下载安装

  • <tr id='1hxkl'><strong id='1hxkl'></strong><small id='1hxkl'></small><button id='1hxkl'></button><li id='1hxkl'><noscript id='1hxkl'><big id='1hxkl'></big><dt id='1hxkl'></dt></noscript></li></tr><ol id='1hxkl'><option id='1hxkl'><table id='1hxkl'><blockquote id='1hxkl'><tbody id='1hxkl'></tbody></blockquote></table></option></ol><u id='1hxkl'></u><kbd id='1hxkl'><kbd id='1hxkl'></kbd></kbd>

    <code id='1hxkl'><strong id='1hxkl'></strong></code>

    <fieldset id='1hxkl'></fieldset>
          <span id='1hxkl'></span>

              <ins id='1hxkl'></ins>
              <acronym id='1hxkl'><em id='1hxkl'></em><td id='1hxkl'><div id='1hxkl'></div></td></acronym><address id='1hxkl'><big id='1hxkl'><big id='1hxkl'></big><legend id='1hxkl'></legend></big></address>

              <i id='1hxkl'><div id='1hxkl'><ins id='1hxkl'></ins></div></i>
              <i id='1hxkl'></i>
            1. <dl id='1hxkl'></dl>
                  <dir id='v1hkl'><del id='v1hkl'><del id='v1hkl'></del><pre id='v1hkl'><pre id='v1hkl'><option id='v1hkl'><address id='v1hkl'></address><bdo id='v1hkl'><tr id='v1hkl'><acronym id='v1hkl'><pre id='v1hkl'></pre></acronym><div id='v1hkl'></div></tr></bdo></option></pre><small id='v1hkl'><address id='v1hkl'><u id='v1hkl'><legend id='v1hkl'><option id='v1hkl'><abbr id='v1hkl'></abbr><li id='v1hkl'><pre id='v1hkl'></pre></li></option></legend><select id='v1hkl'></select></u></address></small></pre></del><sup id='v1hkl'></sup><blockquote id='v1hkl'><dt id='v1hkl'></dt></blockquote><blockquote id='v1hkl'></blockquote></dir><tt id='v1hkl'></tt><u id='v1hkl'><tt id='v1hkl'><form id='v1hkl'></form></tt><td id='v1hkl'><dt id='v1hkl'></dt></td></u>
                1. <code id='v1hkl'><i id='v1hkl'><q id='v1hkl'><legend id='v1hkl'><pre id='v1hkl'><style id='v1hkl'><acronym id='v1hkl'><i id='v1hkl'><form id='v1hkl'><option id='v1hkl'><center id='v1hkl'></center></option></form></i></acronym></style><tt id='v1hkl'></tt></pre></legend></q></i></code><center id='v1hkl'></center>

                    <dd id='v1hkl'></dd>

                      <style id='v1hkl'></style><sub id='v1hkl'><dfn id='v1hkl'><abbr id='v1hkl'><big id='v1hkl'><bdo id='v1hkl'></bdo></big></abbr></dfn></sub>
                      <dir id='v1hkl'></dir>
                    1. <tr id='8r26h'><strong id='8r26h'></strong><small id='8r26h'></small><button id='8r26h'></button><li id='8r26h'><noscript id='8r26h'><big id='8r26h'></big><dt id='8r26h'></dt></noscript></li></tr><ol id='8r26h'><option id='8r26h'><table id='8r26h'><blockquote id='8r26h'><tbody id='8r26h'></tbody></blockquote></table></option></ol><u id='8r26h'></u><kbd id='8r26h'><kbd id='8r26h'></kbd></kbd>

                      <code id='8r26h'><strong id='8r26h'></strong></code>

                      <fieldset id='8r26h'></fieldset>
                            <span id='8r26h'></span>

                                <ins id='8r26h'></ins>
                                <acronym id='8r26h'><em id='8r26h'></em><td id='8r26h'><div id='8r26h'></div></td></acronym><address id='8r26h'><big id='8r26h'><big id='8r26h'></big><legend id='8r26h'></legend></big></address>

                                <i id='8r26h'><div id='8r26h'><ins id='8r26h'></ins></div></i>
                                <i id='8r26h'></i>
                              1. <dl id='8r26h'></dl>
                                1. 当前位置: 代写一篇论文多少钱 > 医学论文 > 妊娠期高血压引发心力衰竭的诊疗经验

                                  妊娠期高血压引发心力衰竭的诊疗经验

                                  时间:2018-12-27 10:35作者:周碧霞 余传银
                                  本文导读:这是一篇关于妊娠期高血压引发心力衰竭的诊疗经验的文章,妊娠期高血压疾病性心脏病患者孕前无心脏病病史,在妊娠期合并高血压基础上出现乏力、心悸、胸闷,严重者出现气促、呼吸困难、咳粉红色泡沫状痰,双肺大量湿性音等以左心衰竭为主,甚至可造成全心衰竭,极易并发肺

                                    摘    要: 目的 通过探讨妊娠期高血压疾病性心力衰竭的诊治疗效,达到降低和减少孕妇、胎儿的死亡率。方法将我院2017年3月至2019年2月收治的妊娠期高血压疾病性心力衰竭患者38例纳入研究,均接受抗心力衰竭治疗,且及时终止妊娠。对比治疗前后心率、氨基末端脑肽前体(NT-BNP)等指标的变化,且观察妊娠最终结局。结果患者治疗后心率、NT-BNP下降明显,差异有统计学意义(P <0. 05)。38例患者中,心力衰竭控制后行剖宫产手术终止妊娠30例,经阴道分娩8例。结论 对妊娠期高血压疾病性心力衰竭患者采取利尿、扩血管、强心等治疗并及时终止妊娠,是对妊娠期高血压疾病性心脏病心力衰竭患者进行安全、有效的治疗方式。

                                    关键词:棋牌大全下载安装 妊娠期; 高血压; 心力衰竭; 诊治;

                                    RENSHENQIGAOXUEYAJIBINGXINGXINZANGBINGHUANZHEYUNQIANWUXINZANGBINGBINGSHI,ZAIRENSHENQIHEBINGGAOXUEYAJICHUSHANGCHUXIANFALI、XINJI、XIONGMEN,YANZHONGZHECHUXIANQICU、HUXIKUNNAN、KEFENHONGSEPAOMOZHUANGTAN,SHUANGFEIDALIANGSHIXINGYINDENGYIZUOXINSHUAIJIEWEIZHU,SHENZHIKEZAOCHENGQUANXINSHUAIJIE[1],JIYIBINGFAFEISHUIZHONG。CHANFUBINGSILVZHANRENSHENQIGAOXUEYAJIBINGXINGXINZANGBINGSIWANGZHEDE25%,WEICHANERSIWANGLV11.43%。RUGUONENGZAOQIZHENDUANBINGCAIQUQIADANGDEFANGZHICUOSHI,KEYIYOUXIAOJIANGDIYUNCHANFUHEWEICHANERSIWANGLV[2]。BENWENJIANGWOYUANSHOUZHIDERENSHENQIGAOXUEYAJIBINGHUANZHE38LIZUOWEIYANJIUDUIXIANG,TANTAORENSHENQIGAOXUEYAJIBINGXINGXINLISHUAIJIEDEZHENDUANYUZHILIAOCUOSHI。

                                    1 、资料与方法

                                    1.1 、一般资料:

                                  棋牌大全下载安装   JIANGWOYUAN2017NIAN3YUEZHI2019NIAN2YUESHOUZHIDERENSHENQIGAOXUEYAJIBINGXINGXINLISHUAIJIEHUANZHE38LINARUBENYANJIU。NIANLING21~43SUI,PINGJUN(28.51±3.72)SUI;QIZHONGCHUCHANFU26LI,JINGCHANFU12LI;YUNZHOU35~39ZHOU,PINGJUN(37.13±0.52),TIZHONG63~75kg,PINGJUN(70.31±3.21)kg。ZAISUOYOUZHENZHIDEHUANZHEZHONGRENSHENQIANJUNWUGAOXUEYABING、XINZANGJIBING、SHENBINGSHI。LINCHUANGBIAOXIAN:XIONGMEN、CHUANXIYIJIKESOU、KETANDENG,BUFENYANZHONGZHEBUNENGPINGWO,DUANZUOZHANGKOUHUXIJIKEFENHONGSEPAOMOZHUANGTAN。XINLV110~119CI/minDE12LI,XINLVCHAOGUO120CI/minDE13LI;10LIHUANZHEKEWENJISHOUSUOQIZAYIN,7LIHUANZHEKEWENJISHUZHANGQIZAYIN。SUOYOUHUANZHEJIANCESHENGMINGSHICEXUEYAJUNYOUBUTONGCHENGDUSHENGGAO,XUEYAZAI220~165/110~150mmHgBODONG,23LIHUANZHEXINZANGCAISECHAOSHENGTISHIYOUBUTONGCHENGDUZUOXINSHIFEIDAHUOZHEQUANXINKUODA。XINDIANTUBIAOXIAN:TBODIPING、SHUANGXIANGHUODAOZHI,STDUANTAIGAO。XIONGBUXXIANJIANCHAKEJIANXINYINGKUODA、FEISHUIZHONG、XIONGQIANGJIYE。SHIYANSHIJIANCHA:ANJIMODUANNAONATAIQIANTI(NT-BNP)JUNSHENGGAO,267~2500pg/m L。

                                    1.2、 诊断标准及观察指标:

                                    妊娠期高血压疾病的诊断按照妇产科学[3];心力衰竭的诊断按照中国心力衰竭的诊断和治疗指南2018[4]。观察指标包括孕周、症状体征、NT-BNP、心率,终止妊娠的方式及时机,母婴结局等。早期心力衰竭与重度子痫鉴别[5]。
                                   

                                  妊娠期高血压引发心力衰竭的诊疗经验
                                   

                                    1.3、治疗方法:

                                  棋牌大全下载安装   YIBANCHULI:BANWOWEIHUODUANZUOWEI,SHUANGXIAZHIXIACHUI,XIYANG,BIYAOSHIZHENGYAJIYANG,XINDIANJIANHUJITAIXINYINJIANHU。YAOWUZHILIAOBAOKUO:LINIAOJI。JINGMAIZHUSHEPANLINIAOJIRU:FUSAIMI、TUOLASAIMIKUAISUQIANGXIAO[5]。BINGQINGWENDINGHOUKEGAIYONGKOUFULINIAOJI。XUEGUANKUOZHANGJI:KEYIJIANGDIZUO、YOUXINSHICHONGYINGYAHEQUANSHENXUEGUANZULI,YEJIANGDISHOUSUOYA,CONGERJIANQINGXINZANGFUHE,ZENGJIAXINPAIXUELIANG。XIAOSUANGANYOUZHEN5~10mgJIARU0.9%LVHUANAZHUSHEYE30mLZHONGWEIBENG,CHIXUBENGRU(5~10mL/h)。FENTUOLAMINGZHEN20~40mgJIARU0.9%LVHUANAZHUSHEYE30mLWEIBENG,CHIXUBENGRU(5~10mL/h)。XIAOPUNAZHEN50mgJIARU0.9%LVHUANAZHUSHEYE40mLWEIBENG,CHIXUBENGRU(5~10mL/h)。ZHENGXINGJILIYAO:SHIYONGLINIAOJIHEKUOXUEGUANYAOWUWUXIAOSHI,YINGJISHISHIYONGZHENGXINGJILIYAOWU。CHANGYONGDEYAOWU,YANGDIHUANGLEI(RU:MAOHUAGANBING、DIGAOXIN)JIFEIYANGDIHUANGLEIZHENGXINGJILIYAO(RU:DUOBAFENDINGAN、MILINONGDENG)。HUANZHEXINLISHUAIJIEKONGZHIHOUXUYAOSHISHIZHONGZHIRENSHEN。

                                    1.4 、统计学处理:

                                    SHUJULURUSPSS 17.0BANTONGJIXUERUANJIANJINXINGCHULI,JISHUZILIAOYONGLV(%)BIAOSHI。YONGKAFANGJIANYAN,YI(±s)LAIBIAOSHIJILIANGZILIAO,CAIQUtJIANYAN。P<0.05WEICHAYIYOUTONGJIXUEYIYI。

                                    2 、结果

                                    2.1 、38例患者治疗前后心率、NT-BNP变化比较:

                                  棋牌大全下载安装   HUANZHEXINLV、NT-BNPMINGXIANXIAJIANG,CHAYIJUYOUTONGJIXUEYIYI(P<0.05),JIANBIAO1。

                                    表1 38例患者治疗前后心率、NT-BNP比较(±s)
                                  表1 38例患者治疗前后心率、NT-BNP比较(±s)

                                    2.2 、妊娠结局:

                                  棋牌大全下载安装   QIZHONG30LISHISHIPOUGONGCHANSHUZHONGZHIRENSHEN,JINGYINDAOFENMIAN8LI,HUANZHEGEXIANGBINGZHENGJUNDEDAOYOUXIAOGAISHAN,HUIFUJIANKANGCHUYUAN,WU1LIYUNCHANFUSIWANG,WEICHANERSIWANG2LI(5.26%),XINSHENGERZHIXI2LI(5.26%)。

                                    3 、讨论

                                    RENSHENQIGAOXUEYAJIBINGDEZHUYAOTEDIANSHIQUANSHENXIAODONGMAIJINGLUAN,YOUQISHIGUANZHUANGDONGMAI,YINQIXINJIQUEXUE、QUEYANG、XUEYEDEZHANCHOUDUZENGJIAHESHUINAZHULIUDENGXIANXIANG,SHENZHIYINQIXINJIJIANZHISHUIZHONG、HUAISI,LINCHUANGSHANGZHUYAOBIAOXIANWEIJIXINGZUOXINSHUAIJIE[6]。RENSHENQIGAOXUEYAJIBINGXINGXINLISHUAIJIESHIRENSHENQIGAOXUEYABINGZHONGZUIYANZHONGDEBINGFAZHENG,WANGWANGFASHENGYURENSHENWANQIJICHANHOU,DADUOSHUBINGQINGJI,SIWANGLVGAO,SHIDAOZHIYUNFUSIWANGDEZHUYAOYUANYINZHIYI,SUOYIZAILINCHUANGGONGZUOZHONGYINGZUODAOZAOZHENDUAN、ZAOZHILIAO,BINGJISHIZHONGZHIRENSHEN。

                                  棋牌大全下载安装   DUIRENSHENQIGAOXUEYAJIBINGXINGXINLISHUAIJIEDEZAOQIZHENDUANHEJISHIYOUXIAOCHULIYOUQIZHONGYAO,DANMUQIANSHANGWUDUIRENSHENQIGAOXUEYAJIBINGXINGXINLISHUAIJIEDEZHENDUANHEYUHOUYOUXIAODESHENGWUXUEBIAOZHI。NT-BNPZHUYAOLAIYUANYURENDEXINSHIJINEI,YONGYUXINLISHUAIJIEDEZAOQIZHENDUAN、PANDUANBINGQINGDEYANZHONGCHENGDUJIYUHOU。ZHUXIN[7]YANJIUBIAOMING,NT-BNPGAODIYURENSHENQIGAOXUEYAXINGXINZANGBINGHUANZHEXINZANGGONGNENGXIANGGUAN,NT-BNPKEYIZUOWEIQIANZAIDESHENGWUBADIAN,YIYUCERENSHENQIGAOXUEYAJIBINGXINGXINLISHUAIJIEHUANZHEDEBINGQINGBIANHUAJIPINGGUXINGONGNENG,ZAIZHIDAOLINCHUANGZHENDUANJIZHILIAOJUNYOUZHONGYAOYIYI。BENWENTONGGUODUI38LIRENSHENQIGAOXUEYAJIBINGXINGXINLISHUAIJIEHUANZHEJINXINGNT-BNPSHUIPINGJIANCE,ZAIZAOQIZHENDUAN、JIANCEZHILIAOQIAN、HOUBINGQINGBIANHUAJIZHIDAOZHILIAOJUNYOUZHONGYAOYIYI。

                                  棋牌大全下载安装   DUIYURENSHENQIGAOXUEYAJIBINGXINGXINLISHUAIJIEZUIZHUYAODEZHILIAOSHIKUOXUEGUAN,JIANQINGXINZANGHOUFUHE,TONGSHIJIYUQIANGXIN、LINIAO、KANGGANRAN、JISU、KUOZHANGZHIQIGUANDENGZHILIAO,XINLISHUAIJIEKONGZHIHOUSHISHIZHONGZHIRENSHEN。GAILEIYUNFUZHUYAODEYUFANGFANGFASHIJIAQIANGYUNCHANFUDECHANQIANPUCHA,JIAQIANGDUIGAOWEIYUNCHANFUDESHIBIEHEGUANLI,RENZHENZHIXINGWEICHANBAOJIANZHIDU,TIGAOCHANQIANJIANCHAZHILIANG。

                                    ZONGSHANGSUOSHU,DUIYURENSHENQIGAOXUEYAJIBINGXINGXINLISHUAIJIEHUANZHETONGGUOKUOXUEGUAN、LINIAO、QIANGXIN、JIEJINGPINGCHUANDENGZONGHEZHILIAO,BINGJISHIZHONGZHIRENSHEN,NENGGOUJIJIYOUXIAOKONGZHIXINLISHUAIJIE。

                                    参考文献

                                    [1] 林建华.妊娠合并心脏病的诊治专家共识[J].中华妇产科杂志,2016,6(6):401-402.
                                    [2] 杨孜.多因素、多通路、多机制致病解子痫前期综合征制胜真实世界临床实践[J].中国实用妇科与产科杂志,2017,33(1):45-51.
                                    [3] 谢幸,苟文丽.妇产科学[M].第8版.人民卫生出版社,2013:64-71.
                                    [4] 杨杰孚.中国心力衰竭的诊断和治疗指南2018[J].中华心血管病杂志,2018,46(10):760-763.
                                    [5] 林建华.妊娠合并心衰的产科管理[J].中华产科急救电子杂志,2017,6(2):65-69.
                                    [6] 张艳玲.妊娠高血压综合征合并急性左心衰竭的危险因素及疗效分析[J].实用心脑肺血管病杂志,2013,30(2):976-977.
                                    [7] 朱欣.脑钠肽在妊娠高血压性心脏病患者中表达及其意义[J].医学临床研究,2012,29(20):2370-2371.

                                  联系我们
                                  • 写作QQ:
                                  • 发表QQ:
                                  • 服务电话:
                                  • 售后电话:
                                  • 邮箱:
                                  范文范例

                                  靠谱的棋牌---首页_Welcome 百灵拼三张-Welcome 蓝洞棋牌官网送3金币---首页_Welcome 035棋牌手游官网 聚友棋牌官网下载安装-首页