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患者28岁,因产后胸闷、气急40d于2003年5月20日入院。该患于2003年4月10日住外院待产,入院第1天无明显诱因出现咳嗽、胸闷、气急,经吸氧后症状无明显好转,于入院第2天行剖宫产术,顺娩1男婴,体重3000g,评分佳。手术后6h病人再次出现咳嗽、气急,不能平卧,心脏彩超示:全心扩大,左室射血分数下降。经会诊考虑为围产期心肌病,给予多巴酚丁胺、西地兰、罗氏芬等药物强心、抗感染治疗后,病情无明显好转,遂转入我院进一步治疗。病
28-year-old patient, postpartum chest tightness, shortness of breath 40d on May 20, 2003 admitted. The suffering from April 10, 2003 out-patient hospital, admitted to hospital on the first day no obvious incentive to cough, chest tightness, shortness of breath, no obvious improvement after the symptoms of oxygen, on admission the first 2 days of cesarean delivery, Shun childbirth 1 Baby boy, weight 3000g, good score. 6h after surgery, patients again cough, shortness of breath, can not lie down, heart ultrasound showed: full heart, left ventricular ejection fraction decreased. The consultation considered as perinatal cardiomyopathy, given dobutamine, cedilanc, Rocephin and other drugs cardiac, anti-infective treatment, the disease was no significant improvement, then transferred to our hospital for further treatment. disease