剖腹生產後發生妊娠前後心肌病變之病例報告

Peripartum Cardiomyopathy-- A Case Report

妊娠前後的心肌病變是發生於懷孕最後一個月或分娩後五個月內，為十分罕見且不明原因的鬱血性心臟病，死亡性相當高。我們報告一位懷孕36週，孕前無任何特殊疾病，此次因懷雙胞胎而住院接受半身麻醉進行剖腹生產的三十四歲病人，在手術後十五小時發生急性心臟衰竭的症狀，而被診斷為妊娠前後的心肌病變。

Peripartum cardiomyopathy in the form of congestive heart disease of unknown etiology appears relatively rarely during the last month of pregnancy or within 5 months after delivery, and it is potentially life- threatening. This case report describes a 34-year-old female, G4P1, at 36 weeks' gestation who was admitted for cesarean section under lumbar epidural anesthesia due to twin pregnancy. She had no past history of cardiovascular diseases. However, rapid onset of dyspnea at ward and acute cardiac failure developed 15 h after cesarean section. Peripartum cardiomyopathy was diagnosed. After a 7-day intensive treatment she was discharged. Since then she was symptom-free and her two babies were doing well during a period of one more years after discharge.