CAJ | 학술논문

目的探讨患有肺血栓栓塞症的孕妇的诊断和治疗.方法我院收治1例大面积肺血栓栓塞症的孕妇,根据临床表现,进行超声心动图,相应的实验室检查方法,给予溶栓和抗凝治疗.结果心脏超声提示:左肺动脉内回声:栓子?三尖瓣轻度反流,肺动脉高压,肺动脉瓣少量反流,主肺动脉增宽.心电图:QⅢTⅢ现象.低氧血症.行溶栓和抗凝治疗,随后胎儿B超显示胎儿心跳正常、胎盘宫底,羊水深度3.5 cm,内透声清.终止孕娠而获得胎儿的心、肺病理学观察,无异常改变、孕妇无出血等并发症发生,1个月后出院.结论孕娠早期合并肺栓塞时,超声心动图、实验室和临床资料可以作出快速诊断和治疗的决定.患有致命性肺栓塞的孕妇,溶栓治疗不应该因怀孕而被禁用.
목적 탐토환유폐혈전전새증적잉부적진단화치료.방법 아원수치1례대면적폐혈전전새증적잉부,근거림상표현,진행초성심동도,상응적실험실검사방법,급여용전화항응치료.결과 심장초성제시:좌폐동맥내회성:전자?삼첨판경도반류,폐동맥고압,폐동맥판소량반류,주폐동맥증관.심전도:QⅢTⅢ현상.저양혈증.행용전화항응치료,수후태인B초현시태인심도정상、태반궁저,양수심도3.5 cm,내투성청.종지잉신이획득태인적심、폐병이학관찰,무이상개변、잉부무출혈등병발증발생,1개월후출원.결론 잉신조기합병폐전새시,초성심동도、실험실화림상자료가이작출쾌속진단화치료적결정.환유치명성폐전새적잉부,용전치료불응해인부잉이피금용.
Objective To study the diagnosis and treatment of pregnant women with pulmonary embolism.Methods A pregnant woman with pulmonary embolism according to clinical manifestations,echocardiography,and laboratory screening method was cured by thrombolytic therapy. Results Echocardiography showed artery echo in left lung.Embolism,mild backflow in the tricuspid valve,pulmonary hypertension,a small amount of regurgitation in the pulmonary valve,and widening of the main pulmonary artery were observed.ECG:QⅢ TⅢ.Ultrasound showed that the fetal heartbeat was normal after thrombolysis and anticoagulation therapy.The amniotic fluid index was 3.5 cm and clear.After artificial induction,the fetal heart and lungs were found to be normal under pathological examination.The patient experienced no hemorrhaging or other complications.After one month,the patient was discharged from the hospital.Conclusions Thrombolytic therapy is useful for pregnant women with massive pulmonary embolism.With echocardiography,ultrasound,laboratory testing,and clinical manifestation,fast diagnoses and early treatment become possible.