妊娠中期合并感染性心内膜炎病例报道1例

A Case Report of Midterm Pregnancy with Infective Endocarditis

摘要: 妊娠合并感染性心内膜炎是导致孕产妇死亡的非产科因素的主要病因之一。该疾病早期临床表现多为发热、伴或不伴心脏杂音等非特异性症状为主，这也是不易早期诊断的原因之一。由于妊娠期女性血流动力学改变及免疫抑制状态，该疾病往往进展迅速，短时间出现急性心力衰竭、心源性休克、脓毒血症甚至呼吸心跳骤停等危及母胎生命的严重并发症。本文报道了1例妊娠中期合并感染性心内膜炎的患者，对其早期诊断及治疗方式进行讨论，旨在为临床治疗提供参考。

Abstract: Pregnancy with infective endocarditis is one of the main causes of non-obstetric factors leading to maternal mortality. The early clinical manifestations of this disease are unspecific symptoms such as fever with or without cardiac murmur, which is also one of the reasons for the difficulty of early diagnosis. Due to the hemodynamic changes and immunosuppression of women during pregnancy, the disease often progresses rapidly, and leads to serious complications such as acute heart failure, cardiogenic shock, sepsis and even respiratory and cardiac arrest occur in a short time. This paper reports a case of pregnancy woman with infective endocarditis, discussing its early diagnosis and treatment modalities, aiming to provide a reference for clinical treatment.