妊娠期急性心肌梗死1例并文献复习
摘要
<正>急性心肌梗死是冠状动脉血供急剧减少或中断,使相应心肌组织严重缺血缺氧而致部分心肌急性坏死。妊娠合并急性心肌梗死(pregnancy-associated myocardial infarction,PAMI)发病率低,围产期病死率达7%~([1]),可导致严重的母儿不良结局,及时的临床诊治十分关键。我院近期收治1例PAMI患者,急诊行经皮冠状动脉介入治疗(PCI)术后继续妊娠至孕8+月后行剖宫产术成功分娩,现报道如下,以期为该类患者诊治总结经验。
引文
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[14]宋立敏,王峙峰,陈韵岱,et al.妊娠晚期急性心肌梗死抢救成功一例报告并文献复习[J].中华妇产科杂志,2014,49(11):852-853.
[15]Lawes R.Acute myocardial infarction in pregnancy[J].Nursing,2010,40(9):72.
[16]高志凌,罗早红,谢萍.妊娠合并急性心肌梗死研究进展[J].心血管病学进展,2018,39(2):239-243.
[2]Gibson P,Narous M,Firoz T,et al.Incidence of myocardial infarction in pregnancy:a systematic review and meta-analysis of population-based studies[J].Eur Heart J Qual Care Clin Outcomes,2017,3(3):198-207.
[3]Smilowitz NR,Gupta N,Guo Y,et al.Acute myocardial infarction during pregnancy and the puerperium in the United States[J].Mayo Clin Proc,2018,93(10):1404-1414.
[4]Kamiya CA.Pregnancy-related acute myocardial infarction in Japan[J].Circ J,2013,77(3):606-607.
[5]Ismail S,Wong C,Rajan P,et al.ST-elevation acute myocardial infarction in pregnancy:2016 update[J].Clin Cardiol,2017,40(6):399-406.
[6]Kennedy BB,Baird SM.Acute myocardial infarction in pregnancy:an update[J].J Perinat Neonatal Nurs,2016,30(1):13-24.
[7]Roth A,Elkayam U.Acute myocardial infarction associated with pregnancy[J].J Am Coll Cardiol,2008,52(3):171-180.
[8]Pacheco LD,Saade GR,Hankins GD.Acute myocardial infarction during pregnancy[J].Clin Obstet Gynecol,2014,57(4):835-843.
[9]何社红,谭玉杰,海巨珺.妊娠相关性急性心肌梗死[J].中国实用医刊,2010,37(18):47-48.
[10]谢幸,孔北华,段涛,等.妇产科学[M].9版.北京:人民卫生出版社,2018.
[11]Regitzzagrosek V,Lundqvist CB,Borghi C,et al.ESC Guidelines on the management of cardiovascular diseases during pregnancy[J].Eur Heart J,2011,32(24):3147-3197.
[12]Regitz-Zagrosek V,Roos-Hesselink JW,Bauersachs J,et al,2018ESC Guidelines for the management of cardiovascular diseases during pregnancy[J].Eur Heart J,2018,39(34):3165-3241.
[13]Horlocker T T,Wedel DJ,Rowlingson JC,et al.Regional anesthesia in the patient receiving antithrombotic or thrombolytic therapy:American Society of Regional Anesthesia and Pain Medicine Evidence-Based Guidelines(Third Edition)[J].Reg Anesth Pain Med,2010,35(1):102-105.
[14]宋立敏,王峙峰,陈韵岱,et al.妊娠晚期急性心肌梗死抢救成功一例报告并文献复习[J].中华妇产科杂志,2014,49(11):852-853.
[15]Lawes R.Acute myocardial infarction in pregnancy[J].Nursing,2010,40(9):72.
[16]高志凌,罗早红,谢萍.妊娠合并急性心肌梗死研究进展[J].心血管病学进展,2018,39(2):239-243.