国际医药卫生导报2013，Vol.19Issue(5)：642-645,4.DOI:10.3760/cma.j.issn.1007-1245.2013.05.018
产科医源性心衰18例临床分析
A clinical analysis on 18 obstetric patients with iatrogenic heart failure
摘要
Abstract
Objective To investigate the etiologies and prevention of iatrogenic heart failure in obstetric patients.Methods The clinical data on 18 ptients who had occurred iatrogenic heart failure during the period of 2007 to 2011 were retrospectively analyzed.20 puerperas without heart failure were used as control.The pathogenesis of iatrogenic heart failure and and the relevant measures for prevention were determined.Results 9 of the 18 (50％) patients were due to pregnancy-induced hypertension,8 (44.4％)due to postpartum hemorrhage,9 (50％) due to anemia,and 12 (66.7％) due to hypoalbuminemia.2 patients developed heart failure prenatally,2 intrapartally,and 14 postpartally.Conclusions Underestimation of disease course by obstetric staff,inappropriate control of volume and speed of intravenous infusion,and careless observation by nurses are the major causes of iatrogenic heart failure in obstetric patients.关键词
产科/医源性心衰/病因/预防Key words
Obstetrics/ Iatrogenic heart failure/ Etiology/ Prevention引用本文复制引用
张群,林惠文..产科医源性心衰18例临床分析[J].国际医药卫生导报,2013,19(5):642-645,4.
