尤文图斯足球俱乐部、重庆市妇产科医院、重庆市遗传与生殖研究所" /> 尤文图斯足球俱乐部、重庆市妇产科医院、重庆市遗传与生殖研究所" />
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【妇幼尤文图斯足球俱乐部】尤文图斯足球俱乐部成功抢救危重孕妇

尤文图斯足球俱乐部  2020/7/8  来源: 本站

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 近日,我院重症医学科联合产科门诊成功抢救一名妊娠合并严重心律失常的二胎孕妇 ,彰显了我院在危重孕产妇救治方面多学科协作的优势。
   该孕妇来自忠县,是一名30岁二胎孕妈,妊娠22+5周,在我院规律产检,孕早期心电图正常,因5天前无明显诱因出现持续心悸、胸闷不适,夜间难以入睡且伴胎动频繁症状来我院产科门诊就诊。了解病史后,医生急诊完成相关检查,心电图提示危急值:心率:217次/分,提示阵发性室上性心动过速;心脏彩超示:射血分数:33.3% 、心率:203-224次/分,右房增大伴二尖瓣三尖瓣重度返流、少量心包积液。病情就是命令,时间就是生命,医院立即启动院内应急抢救预案,快速开启绿色通道收治我院重症医学科。入科后立即给予重症监护、吸氧、监测胎心胎动、建立动静脉通路等一系列处理,心电监护示心率:218次/分、血压:85/45 mmHg,孕妇仍诉胸闷心悸不适,经按压颈动脉窦等刺激迷走神经方法孕妇心率仍无变化,立即予维拉帕米及三磷酸腺苷二钠注射液稀释后缓慢静脉注射,经过三次药物推注及半个多小时积极抢救,孕妇心律终于转复为窦性心律,孕妇自觉症状明显好转,心电监护示心率:120次/分、血压:102/62 mmHg,抢救团队紧绷的神经终于有了一丝放松。目前该孕妇已脱离生命危险,继续待产。


   “阵发性室上性心动过速”简称“室上速”,是临床上常见的心律失常之一,具有突发突止的特点,表现为突然发作的心悸、气短、乏力,多在情绪激动、疲劳、剧烈运动时出现,症状严重者可出现明显的心肌缺血症状,如心绞痛、晕厥等。在妊娠中晚期,随着胎儿的发育母体的心功能受到不同程度的影响,发生室上速的机率高于非孕期。如果孕妇有器质性心脏病出现心衰时,就会造成胎儿宫内缺血缺氧,所以在孕期出现室上速,应及时到专业医院进行救治。


               入院时报危急值的心电图 ↑


                  治疗后的心电图 ↑
   目前我院重症医学科拥有国际国内一流监护设备及从事重症医学的专业医护团队,成功救治了羊水栓塞、难治性产后出血、各种休克、妊娠合并心肺功能异常、妊娠高血压疾病等各类危急重症,为我市孕产妇健康保驾护航。

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