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Jingdong book

产科麻醉病例精选

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《产科麻醉病例精选》精选了合并并发症或病理妊娠的产科麻醉病例17例,每个病例均具有代表性。通过对每个病例的背景资料、麻醉管理过程和预后进行介绍和分析,使读者对围产期心肌病、妊高症、恶性前置胎盘、HELLP综合征等17种可能危及产妇和胎儿生命安全的疾病有全面而深入的了解。对于广大产科医师和麻醉医师具有极大的指导意义和参考价值。
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第一篇 合并血小板减少症病例
第二篇 病态肥胖病例
第三篇 围产期心肌病病例
第四篇 合并肺动脉高压病例
第五篇 合并艾森曼格综合征病例
第六篇 合并系统性红斑狼疮病例
第七篇 合并抗磷脂抗体综合征病例
第八篇 妊娠期糖尿病病例
第九篇 合并甲亢病例
第十篇 恶性前置胎盘病例
第十一篇 重度子痫前期病例
第十二篇 HELLP综合征病例
第十三篇 双胎妊娠病例
第十四篇 羊水栓塞病例
第十五篇 宫颈环扎病例
附录一 ASA产科麻醉执业指南(2007)节选
附录二 中华医学会麻醉分会产科麻醉快捷指南(2012)节选
Book Abstract

《产科麻醉病例精选》:
属于无其他明确病因的心力衰竭症状,符合围产期心肌病的表现。欧洲心脏病学会对围产期心肌病的定义是:“发生在妊娠晚期或者分娩后的最初几个月里的一种特发性心肌病,其临床特征是以心力衰竭为主伴左心室收缩功能障碍,既往无其他明确心力衰竭的病史。”欧洲心脏病学会的诊断标准是:无其他明确的病因,发生于孕后期或产后早期,主要表现为继发于左心室收缩功能障碍的心力衰竭,伴或不伴左心室扩张,左心室射血分数(LVEF)<45%。围产期心肌病的发病机制还不清楚,有自身免疫假说,也有病毒感染假说,还有营养失衡假说。由于病因不清,鉴别诊断主要采用排除法。需要排除其他可能引起心功能不全的各种原因,包括妊娠前各种心脏疾病,如心瓣膜病、心肌炎、先天性心脏疾病、其他原发或继发性的心肌病和高血压性心脏病等。并注意与妊娠高血压综合征所致心力衰竭鉴别,还应与严重贫血、维生素B缺乏、羊水栓塞或肺栓塞等疾病引起相似症状的心力衰竭鉴别。该患者血压正常,既往无心脏病史,发病在妊娠晚期,基本可排除其他诊断。
……

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