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Wysłany: Wto 15:59, 22 Mar 2011
Temat postu: MBT schuhe preise bcy pzu bhc fck
46 cases of severe pregnancy-induced hypertension clinical analysis of ECG
Like a serious change, but should be recorded and repeated examination. 2.232 cases of patients with abnormal ECG, a sT-T, Q-T interval change,
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, left branch block in 13 cases, and the other 19 cases ECG changes as sinus tachycardia, sinus arrhythmia,
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, electrical axis deviation, low voltage caused by non-pregnancy-induced hypertension. All the patients, were not recorded before the expiration of contraction, tachycardia, arrhythmias such as atrioventricular block performance, consider the addition to the above stated reasons, yet the majority of patients in this group: Xiren hospital earlier, and the majority of hospital has been in spasm, blood pressure and other therapy. 2.3 The group of 13 patients had sT-T, Q-T interval changes, electrocardiogram changes in left branch block not seen in normal pregnant women reported that due to pregnancy-induced hypertension. This is because the pregnancy-induced hypertension on the one hand systemic small arteries and coronary spasm JoumalofHandanMedicalCollege, April2004, Vol17,
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, No. 2 twin, causing cardiac insufficiency and interstitial edema, or more seriously, a bit like bleeding and local necrosis, easy to form ectopic foci within the myocardium and conduction delay in the electrocardiogram showed ST segment depression, T wave flat,
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, two-way upside down and so on. On the other hand, systemic small artery spasm, blood concentration, increased blood viscosity, coupled with a renin-angiotensin-aldosterone system imbalance, caused by the body sodium and water retention, increased blood volume, can be lead to increased peripheral vascular resistance, left ventricular load increase, in order to ensure output, cardiac compensatory heart rate, ECG showed sinus tachycardia, in this group had 17 cases. Of course, severe anemia, hypoproteinemia induced hypertension and other complications can also cause or worsen ECG changes. If there is unexplained sinus tachycardia, ST-T wave changes, etc., should be on high alert,
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, early treatment to prevent eclampsia and heart failure J. 2.4 As the electrocardiogram in patients with severe pregnancy induced hypertension was mainly due to changes in small coronary artery spasm, luminal narrowing, the myocardial cells due to the relative insufficiency, so the timely and effective manner spasm, hypotension, sedation, oxygen comprehensive treatment, especially after the termination of pregnancy, the heart and reducing the burden, ease the spasm of small arteries, myocardial cells to improve blood supply, sT-T wave can be quickly returned to normal, 46 patients in this group review the ECG 1 week after delivery, sT-T waves were not down. Most ECG abnormalities may eventually disappear, this group of cases, 20 patients were followed up for 0.5-2.0 years after delivery, electrocardiogram are normal.
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