Gestational hypertension and heart disease during pregnancy is unique to the disease, China's incidence rate of 9.4 percent, the majority of cases appear in a pregnancy had hypertension, proteinuria, and other symptoms of a small number of patients with hypertension during pregnancy for the development of heart disease leading to acute heart failure Pregnant women is the leading cause of death, on the diagnosis and treatment must actively accurate.
Gestational hypertension and heart disease during pregnancy is unique to the disease, China's incidence rate of 9.4 percent, the majority of cases appear in a pregnancy had hypertension, proteinuria, and other symptoms, a small number of patients with hypertension during pregnancy for the development of heart disease leading to acute heart failure Pregnant women is the leading cause of death, on the diagnosis and treatment must actively accurate.
1 clinical data
1.1 general information in August 2003 to August 2006 in our hospital treated five cases of gestational hypertension and heart disease leading to acute left ventricular failure patients, aged 24 to 30-year-old, four cases of early maternal, is the one case of maternal, pregnant 38 To 40 weeks, according to diagnostic criteria, "Obstetrics and Gynecology" version 6, in the end of active control of heart failure after birth mother recovered and discharged. Finishing the collection of medical education network
1.2 Treatment Methods seat, his legs , with oxygen masks and effective so that the arterial pressure (PO2)> 60 mmHg, morphine started to 2 ~ 8 mg intravenous if necessary, every 2 ~ 4 h repeat administration, Furosemide 40 mg +10% of 20 ml of intravenous glucose, Portland West and 0.2 ~ 0.4 mg +25% of 20 ml of intravenous glucose, 24 h does not exceed 0.8 mg, and pay attention to electrolyte balance, maintaining a certain level of potassium concentration, Hypokalemia should avoid the situation caused by digitalis poisoning; vasodilative drug commonly used SNP 25 mg +5% glucose infusion pump 250 ml to 10 μ g / min start typing, with an average 3 μ g / (kg min) to reduce the speed of the former Load.
Typical cases
Patients, 25-year-old, 40 weeks pregnant, December 25, 2003 due to pregnancy hypertension and heart disease leading to acute left ventricular failure hospitalization, Duanzuo breathing, pink bubble-like cough sputum collection of finishing medical education network. Investigations of: BP 160/120 mmHg, P 110 times / min, R 25 times / min. Cardiac auscultation: diastolic Benma law, can be heard at the end of Shuangfei and wet La Music, cyanosis, continuing the jugular Nuzhang. ECG Tip: sinus tachycardia, the left atrium and left ventricle, immediately to rescue heart failure treatment in a stable condition, will lower the end of the cesarean birth, hospital 15 days to recover and discharged.
3 discussion
Gestational hypertension diseases caused vasospasm, hypertension, peripheral resistance increased, myocardial contraction and increased ejection resistance, cardiac output decreased significantly, the cardiovascular system in a low-ranked high resistance, and ventricular function in a high-power status, coupled with Activation of endothelial cells to increase vascular permeability, vascular fluid into the cell, leading to myocardial ischemia, interstitial edema, or myocardial necrosis point bleeding, pulmonary edema, caused serious heart failure [1]. These patients with no previous signs and symptoms of heart disease, suddenly left the main symptoms of heart failure, often dry cough, night obviously, easily mistaken for upper respiratory tract infection and bronchitis, or delay treatment time. Therefore, the importance of timely diagnosis, early intervention and treatment to reduce heart load, mainly diuretic, cardiac drugs instead advocated by a small number of saturation, because this is the main reason for heart failure around the small arteries to increase resistance, water, sodium retention and blood viscosity Increase in early control of heart failure at the same time an emergency Cesarean section.
Aug 7, 2008
Aug 5, 2008
Fitness prevent women have Jiaqi
As women's physiological characteristics has its particularity. Therefore, women can prevent and fitness to seize the best, and often will be significantly enhanced the Qixiao. The best time to improve the physique of women have three. Poor physical condition of women, as long as can seize several key stages of a scientific tone, will greatly improve the physique.
Menarche period
This stage in the start-up of estrogen, women's Second Sex levy rapid growth and development, all systems are in great changes have taken place. During this period, if in a doctor's guidance, science and adjust the structure of meals and attention to physical activity will enable the constitution to "a higher level," the body's resistance will be greatly enhanced.
Pregnancy and the postpartum period
Because of pregnancy, childbirth, and other physiological processes will lead to female endocrine changes, which directly affect the size and physique. So if you want to change the overweight or too thin build and improve physical fitness, it must seize this godsend.
Menopause
Women after menopause, because estrogen levels in the changes, the body of the stress response become relatively slow, the balance of the body vulnerable to damage. This phase will focus on women such as nutrition, maintaining psychological balance, adhere to the laws of physical exercise, it will benefit your old age. Anti-fat women are three best part: The life of women in the three most vulnerable stage of obesity, few can in this time period controlling body weight, while not easy Bianpang. First, childhood. A survey data show that during the age of 10-13 who weight, to 30-year-old after the potbellied, the possibility of up to 8%. If this stage of normal weight, the possibility of future obesity will be reduced 60 percent. The second is 15 - 25 years of age. This is because fat cells 10 peak of prosperity, coupled with the large number of sex hormone secretion, increased appetite and food intake, so most vulnerable to obesity. Third, after 40 years of age. This stage of the women hypothalamus function, abdominal flu slow enough, so vulnerable to Tansi and obesity. 12-14 years old, calcium women were the best period of his life to calcium. For women, children aged 12-14 in the period of calcium most important, because this period is the direction and development of human bone sensitive period. U.S. researchers had the 94-year-old adolescent female 12-14 observation, found that taking 250 milligrams of calcium daily, the hardness of bone and bone density than those who do not calcium, to the age of 18 , The former high bone mineral density more than the latter six percent, and in the person's life, when 18-year-old state of the quality of bone are key to good bone status to be effective in preventing senile osteoporosis occurred, the A life-long beneficiary of calcium Junior said.
13-22 years old, female bodybuilding build the best view of experts that Calisthenics, creating the best time to shape the United States is young, in particular within the 3-year-old. At this point in the future is to build basic form, the fitness should start from childhood. However, the best time to improve the shape it is in the 13-22 years of age. Because the human body and the process of development, this stage of the human metabolism than exuberant, psychological pursuit of the United States have the desire and energy, malleable, so if this period to improve the training available to build a very good effect.
Premenopausal three years to one year in postmenopausal women to protect the best of heart disease in general, in pre-menopausal women at the heart of the situation is better than men, suffering from heart disease in recent years is very low, but its heart in postmenopausal victims of the possibility of Greatly increased. This was mainly due to heart disease is most closely connected with the serum cholesterol, from the natural menopause three years ago increased significantly since the beginning, and continued through natural menopause after one year. Therefore, in order to protect the heart, naturally menopausal women in the first three years should be tested regularly and started to control cholesterol, until one year after menopause, can not have the slightest paralysis. Menstrual period, the treatment of female pelvic inflammatory disease of the best female pelvic inflammatory disease is common gynecological diseases, treatment of menstrual period for the best time. Because women in the pelvic congestion throughout the menstrual period, and usually at this time given the same dose of the drug, distributed in the pelvic cavity with the flow of drugs will be more than usual, but also a direct role in the endometrium, etc., thereby enhancing the Efficacy. Specific treatment is: menstrual 1-2 days before the start medication, to a course of treatment for menstrual clean, about seven days around. Drugs used mainly to anti-inflammatory drugs, can also be used proprietary Chinese medicines.
Menarche period
This stage in the start-up of estrogen, women's Second Sex levy rapid growth and development, all systems are in great changes have taken place. During this period, if in a doctor's guidance, science and adjust the structure of meals and attention to physical activity will enable the constitution to "a higher level," the body's resistance will be greatly enhanced.
Pregnancy and the postpartum period
Because of pregnancy, childbirth, and other physiological processes will lead to female endocrine changes, which directly affect the size and physique. So if you want to change the overweight or too thin build and improve physical fitness, it must seize this godsend.
Menopause
Women after menopause, because estrogen levels in the changes, the body of the stress response become relatively slow, the balance of the body vulnerable to damage. This phase will focus on women such as nutrition, maintaining psychological balance, adhere to the laws of physical exercise, it will benefit your old age. Anti-fat women are three best part: The life of women in the three most vulnerable stage of obesity, few can in this time period controlling body weight, while not easy Bianpang. First, childhood. A survey data show that during the age of 10-13 who weight, to 30-year-old after the potbellied, the possibility of up to 8%. If this stage of normal weight, the possibility of future obesity will be reduced 60 percent. The second is 15 - 25 years of age. This is because fat cells 10 peak of prosperity, coupled with the large number of sex hormone secretion, increased appetite and food intake, so most vulnerable to obesity. Third, after 40 years of age. This stage of the women hypothalamus function, abdominal flu slow enough, so vulnerable to Tansi and obesity. 12-14 years old, calcium women were the best period of his life to calcium. For women, children aged 12-14 in the period of calcium most important, because this period is the direction and development of human bone sensitive period. U.S. researchers had the 94-year-old adolescent female 12-14 observation, found that taking 250 milligrams of calcium daily, the hardness of bone and bone density than those who do not calcium, to the age of 18 , The former high bone mineral density more than the latter six percent, and in the person's life, when 18-year-old state of the quality of bone are key to good bone status to be effective in preventing senile osteoporosis occurred, the A life-long beneficiary of calcium Junior said.
13-22 years old, female bodybuilding build the best view of experts that Calisthenics, creating the best time to shape the United States is young, in particular within the 3-year-old. At this point in the future is to build basic form, the fitness should start from childhood. However, the best time to improve the shape it is in the 13-22 years of age. Because the human body and the process of development, this stage of the human metabolism than exuberant, psychological pursuit of the United States have the desire and energy, malleable, so if this period to improve the training available to build a very good effect.
Premenopausal three years to one year in postmenopausal women to protect the best of heart disease in general, in pre-menopausal women at the heart of the situation is better than men, suffering from heart disease in recent years is very low, but its heart in postmenopausal victims of the possibility of Greatly increased. This was mainly due to heart disease is most closely connected with the serum cholesterol, from the natural menopause three years ago increased significantly since the beginning, and continued through natural menopause after one year. Therefore, in order to protect the heart, naturally menopausal women in the first three years should be tested regularly and started to control cholesterol, until one year after menopause, can not have the slightest paralysis. Menstrual period, the treatment of female pelvic inflammatory disease of the best female pelvic inflammatory disease is common gynecological diseases, treatment of menstrual period for the best time. Because women in the pelvic congestion throughout the menstrual period, and usually at this time given the same dose of the drug, distributed in the pelvic cavity with the flow of drugs will be more than usual, but also a direct role in the endometrium, etc., thereby enhancing the Efficacy. Specific treatment is: menstrual 1-2 days before the start medication, to a course of treatment for menstrual clean, about seven days around. Drugs used mainly to anti-inflammatory drugs, can also be used proprietary Chinese medicines.
Subscribe to:
Posts (Atom)
Posts
