[Analysis of inductive factors, diagnosis and treatment of 21 cases with pregnancy accompanied with pulmonary edema].
OBJECTIVE
To investigate the inductive factors, the prevention and treatment methods of pulmonary edema during pregnancy.


METHODS
The clinical materials of 21 cases of pregnancy with pulmonary edema treated in our hospital from Jan. 1985 to Jan. 2000 were analysed retrospectively.


RESULTS
Among 21 patients, 26 pulmonary edema attacked, 9 of them had upper have respiratory diseases, thirteen cases caused by improper infusion. Fourteen cases were well controlled quickly with antiplasm nifedipine, myocardial strength and diuretics. If the symptoms could not be controlled properly, vasodilators were applicated. We had 16 cesarean section under epidural anaesthesia, one vaginal birth, and the other one birth by forceps.


CONCLUSIONS
Pulmonary edema in pregnancy usually followed with acute heart failure caused by sever pregnancy induced hypertension. We should pay more attention to the indications of it. During treatment, we should give vasodilators properly, so as to prevent pulmonary edema.
Zhang
L
L
Department of Obstetrics and Gynecology, People's Hospital, Peking University, Beijing 100044, China.
Zhao
Y
Y
Wang
S
S
D000328:Adult; D005260:Female; D006801:Humans; D009543:Nifedipine / Q000627:therapeutic use; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000188:drug therapy; D011654:Pulmonary Edema / Q000175:diagnosis* / Q000188:drug therapy; D012307:Risk Factors; D014665:Vasodilator Agents / Q000627:therapeutic use
D014665:Vasodilator Agents; D009543:Nifedipine