妊娠合并重症暴发性心肌炎1例报道并文献复习
Journal of Shanghai Jiaotong University(Medical Science)（2020）
Abstract
患者32岁,女性,因"G3P1,停经30+6周,发热伴心悸2 d"入院.血肌钙蛋白1.356μg/L(↑)、肌酸激酶同工酶10.4μg/L(↑),心电图示窦性心动过速(心率112次/min),ST段抬高(Ⅱ、Ⅲ、aVF、V3～V6 J点上移型).患者1个月前曾有"感冒"病史.经多学科会诊后,予连续肾脏替代疗法、体外膜肺氧合机械循环支持.病情平稳后全身麻醉下行剖宫取胎术,后患者顺利出院.妊娠合并重症暴发性心肌炎的报道较少,该病例的临床资料及处理办法可为临床诊治提供参考.
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