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中华产科急救电子杂志 ›› 2022, Vol. 11 ›› Issue (02) : 72 -76. doi: 10.3877/cma.j.issn.2095-3259.2022.02.002

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围产期心肌病
王志坚1,(), 黄镇钦1   
  1. 1. 南方医科大学南方医院妇产科
  • 收稿日期:2021-09-23 出版日期:2022-05-18
  • 通信作者: 王志坚

Peripartum cardiomyopathy

Zhijian Wang1(), Zhenqin Huang1   

  • Received:2021-09-23 Published:2022-05-18
  • Corresponding author: Zhijian Wang
引用本文:

王志坚, 黄镇钦. 围产期心肌病[J]. 中华产科急救电子杂志, 2022, 11(02): 72-76.

Zhijian Wang, Zhenqin Huang. Peripartum cardiomyopathy[J]. Chinese Journal of Obstetric Emergency(Electronic Edition), 2022, 11(02): 72-76.

围产期心肌病是一种以心力衰竭为主要表现的左心室收缩功能障碍性心脏病,主要发生在妊娠28周后至产后6个月内,黑人妇女为主要患病群体,其他人种也时有发病。其发病机制仍未完全明确,但血管性激素途径可能为主要发病机制。目前的治疗原则是以溴隐亭和抗心衰治疗为主的BOARD疗法。

Peripartum cardiomyopathy (PPCM) is a left ventricular systolic dysfunction heart disease with heart failure as the main manifestation. It mainly occurs in from 28 weeks of pregnancy to 6 months after delivering, and black women are the main affected group. Its pathogenesis is still not completely clear, but the vascular hormone pathway may be the main pathogenesis. Currently, the treatment principle is the BOARD therapies, including bromocriptine and anti-heart failure as the main treatment.

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