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首页> 外文期刊>The Internet Journal of Anesthesiology >Labour Analgesia In A Patient With Complete Heart Block
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Labour Analgesia In A Patient With Complete Heart Block

机译：完全性心脏传导阻滞患者的分娩镇痛

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A 37-year-old primigravida was diagnosed to have a complete heart block (CHB) during her antenatal checkup at 36 weeks. She was evaluated by a cardiologist and was advised for labour analgesia at the institute where all cardiac invasive facilities were available. The patient was asymptomatic. She was admitted in K.E.M Hospital for safe confinement. On clinical examination, the heart rate was 44/min, blood pressure was 140/90 mm of Hg, and she had pedal edema. Ultrasonography revealed a single live intrauterine foetus of gestational age of 38 weeks with vertex presentation. On investigation--- ECG showed narrow complex CHB with ventricular rate of 38/min. 2D-ECHO showed left ventricular ejection fraction of 69%, Trivial MR with trivial TR with normal left ventricular function and valves and without regional wall motion abnormality. All other investigations –Within normal limits.
机译：一名36岁的初产妇在进行产前检查36周时被诊断为完全性心脏传导阻滞（CHB）。她接受了心脏病专家的评估，并在可以使用所有心脏侵入性设施的研究所被建议进行分娩镇痛。该患者无症状。她因安全分娩而被K.E.M医院收治。在临床检查中，心率是44 / min，血压是140/90 mm Hg，并且患有踏板水肿。超声检查显示单胎活胎胎儿的孕龄为38周，并有顶点表现。经研究-心电图显示狭窄的复杂CHB，心室速率为38 / min。 2D-ECHO显示左心室射血分数为69％，琐碎MR伴琐碎TR，左心室功能和瓣膜正常，无区域性壁运动异常。所有其他检查–在正常范围内。

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