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“妊高症”产妇需警惕马凡综合征--亲稳网络舆情监控室
2012-12-06
已经37岁的沈女士终于怀上了宝宝,但是,就在沈女士孕期30周时,突发胸闷、背痛、咳血、呼吸急促等症状,到医院进行CT检查后,确诊为主动脉夹层(Ⅱ型),主动脉瓣中重度返流,二三间瓣轻度返流症。
Have 37 ms shen finally was pregnant with the baby,but,In ms shen pregnancy 30 weeks,Sudden chest distress/Back pain/Coughing up blood/The symptom such as shortness of breath,To the hospital after CT examination,Give priority to arterial sandwich diagnosis(Ⅱ type),Moderate to severe aortic regurgitation,Between two disc mild regurgitation disease.
主动脉夹层是最常见也是最凶险的动脉夹层。主要是指血液通过主动脉内膜裂口,进入主动脉壁并造成正常动脉壁分离的疾病,患者随时有主动脉迸裂的危险。于是,在进行剖宫产术后,家属们辗转四川、云南等多家医院后,最终来到清华大学附属第一医院。
Aortic dissection is the most common and most dangerous artery sandwich.Is mainly refers to the blood through the aortic intima cleft,Enter the aortic wall and normal arterial wall caused by the separation of disease,At any time in the middle of the aorta in patients with risk.so,In cesarean section,Family members toss sichuan/Yunnan, a number of other hospital,Finally come to tsinghua university first affiliated hospital.
由于患者病情危重,随时都有生命的危险,清华大学附属第一医院吴清玉院长亲自为其实施了“主动脉人工血管”置换术。经历了9个多小时漫长而复杂的手术,沈女士终于成功完成人工血管的置换,脱离了生命危险。目前,经过心脏中心医护人员的精心护理,沈女士已从重症监护室转回了普通病房,恢复良好。
In patients with critical illness,At any time the risk of life,Tsinghua university first affiliated hospital WuQingYu dean himself for the implementation of the"Aortic artificial blood vessels"replacement.Go through 9 hours long and complicated operation,Ms shen finally successful completion of the artificial vascular replacement,Out of danger.At present,After the heart center staff of intensive care,Ms shen from severe medicine has turned back to the general ward,Restore good.
据清华大学附属第一医院心脏中心外科副主任医师张明奎博士介绍,沈女士在孕期不仅患有“妊娠合并高血压综合征”(简称“妊高症”),同时还患有马凡综合征。
According to tsinghua university first affiliated hospital cardiac surgery center of doctor of vice director of Dr. ZhangMingKui is introduced,Ms shen during pregnancy with not only"Pregnancy with hypertension syndrome"(Referred to as"RenGaoZheng"),At the same time also with marfan syndrome.
张明奎博士说,马凡综合征在心血管方面表现为大动脉中层弹力纤维发育不全,主动脉或腹总主动脉扩张,形成主动脉瘤或腹总主动脉瘤。当主动脉扩张到一定程度以后,将会造成主动脉大破裂死亡。通常有家族病史,但有些患者早期未能发现有明显病症,一经发病,便有猝死的危险,所以要早发现、早确认、早治疗。
Said Dr ZhangMingKui,Marfan syndrome in cardiovascular aspects for the performance of the aorta middle elastic fiber hypoplasia,Abdominal aorta or total aortic dilatation,Formation and abdominal aortic aneurysm total aortic aneurysm.When aortic expansion to a certain degree later,Will cause large aortic rupture death.Usually a family history,But some patients failed to find early have obvious symptoms,Once the,There is the risk of sudden cardiac death,So to early detection/Early confirmation/Early treatment.
“预防主动脉疾病,控制好血压非常重要。”张明奎博士表示,高血压的控制对于主动脉夹层的预防、治疗、预后有着全面影响,是最基本和最不能忽视的治疗和预防手段。他建议准妈妈们不仅要进行严格的围产期检查,一旦发现胸闷、背痛以及呼吸急促等症状时,及时到心血管专科医院做彩超诊断,以免发生不可控制的危险。(王艳敏 张晓萍)
"Prevention of aortic disease,Good control of blood pressure is very important."ZhangMingKui, says Dr,High blood pressure control for aortic dissection of prevention/treatment/Prognosis has full effect,Is the most basic and most cannot ignore the treatment and prevention methods.He suggested that prospective mothers should not only carry on the strict perinatal inspection,Once found chest distress/Back pain and shortness of breath, etc),Timely to cardiovascular hospitals do color dopplar ultrasound diagnosis,In order to avoid has the danger of not control.(WangYanMin Chen)
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