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A case of acute pulmonary edema with peripartum cardiomyopathy in severe preeclampsia

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Á¶Çý¿¬ ( Cho Hye-Yon ) - ÇѸ²´ëÇб³ Àǰú´ëÇÐ »êºÎÀΰúÇб³½Ç

À̱ٿµ ( Lee Keun-Young ) - ÇѸ²´ëÇб³ Àǰú´ëÇÐ »êºÎÀΰúÇб³½Ç
¼ÛÁöÀº ( Song Ji-Eun ) - ÇѸ²´ëÇб³ Àǰú´ëÇÐ »êºÎÀΰúÇб³½Ç
ÀüÇö¾Æ ( Jun Hyun-Ah ) - ÇѸ²´ëÇб³ Àǰú´ëÇÐ »êºÎÀΰúÇб³½Ç
¹®Ã¶¿ë ( Mun Cheol-Yong ) - ÇѸ²´ëÇб³ Àǰú´ëÇÐ »êºÎÀΰúÇб³½Ç
±ÇÇüÁØ ( Kwon Hyoung-Jun ) - ÇѸ²´ëÇб³ Àǰú´ëÇÐ »êºÎÀΰúÇб³½Ç
±è¼±¼÷ ( Kim Sun-Suk ) - ÇѸ²´ëÇб³ Àǰú´ëÇÐ »êºÎÀΰúÇб³½Ç

Abstract

Á¤»ó ¸¸»èÀӽſ¡¼­ Ç÷Àå ´Ü¹éÁú³óµµ°¡ °¨¼ÒÇϸ鼭, Ç÷Àå»ïÅõ¾Ð (plasma oncotic pressure)µµ °¨¼ÒÇϴµ¥, ÀÓ½ÅÀüÀÚ°£Áõ ÀÓ»êºÎ¿¡¼­´Â ÀÌ·¯ÇÑ Çö»óÀÌ ´õ¿í ½ÉÇϰí, ¸ð¼¼Ç÷°ü Åõ°ú (capillary permeability)µµ ´õ¿í Áõ°¡ÇÏ´Â °æÇâÀ» º¼ ¼ö ÀÖ´Ù. ÁßÁõÀüÀÚ°£Áõ ¹× ÀÚ°£Áõ ÀÓ»êºÎ¿¡¼­ ¸ð¼¼Ç÷°ü Åõ°ú¼º Áõ°¡ ¹× Ç÷°ü ³»ÇÇ ¼Õ»óÀ¸·Î ÀӽЏ»±â ¹× ºÐ¸¸ ÈÄ ÆóºÎÁ¾ÀÌ ¹ß»ýÇÒ ¼ö ÀÖÀ¸¸ç, ÀÌ °æ¿ì ½ÉºÎÀüÀÌ µ¿¹ÝµÇ±âµµ ÇÑ´Ù. ÀӽЏ»±â ¹× ºÐ¸¸ ÈÄ ½ÉºÎÀüÀ» À¯¹ßÇÒ ¸¸ÇÑ ¸íÈ®ÇÑ ¿øÀÎÀÌ ¹èÁ¦µÈ °æ¿ì, ºÐ¸¸ÀüÈı⠽ÉÀå±ÙÀ°º´ÁõÀ¸·Î Áø´ÜÇÒ ¼ö ÀÖÀ¸¸ç, ¸Å¿ì µå¹°Áö¸¸ »ç¸Á·üÀÌ 10~50%¿¡ À̸£´Â °ÍÀ¸·Î ¾Ë·ÁÁ® ÀÖ´Ù. ÀúÀÚµéÀº ÀӽŠ33ÁÖ 1ÀÏ¿¡ ±Þ¼º ÆóºÎÁ¾ ¹× ºÐ¸¸ÀüÈı⠽ÉÀå±ÙÀ°º´Áõ (peripartum cardiomyopathy)À» µ¿¹ÝÇÑ ÁßÁõÀÓ½ÅÀüÀÚ°£ÁõÀ¸·Î ÀÀ±Þ Á¦¿ÕÀý°³¼úÀ» ½ÃÇàÇÑ »ê¸ð 1¿¹¸¦ °æÇèÇÏ¿´±â¿¡ ¹®Çå °íÂû°ú ÇÔ²² º¸°íÇÏ´Â ¹ÙÀÌ´Ù.
Women with severe preeclampsia or eclampsia who develop pulmonary edema most often do so postpartum and some of these women have cardiac failure. Peripartum cardiomyopathy is defined as a cardiac failure occurring in the latter part of pregnancy or in the peripartum, without obvious cause and prior evidence of heart disease. It is very rare but the mortality rate is as high as 10~50%. Here, we describe a case of a woman who has undergone emergency Cesarean section due to complicated severe preeclampsia with acute pulmonary edema and peripartum cardiomyopathy at 33+1 weeks of gestation.

Ű¿öµå

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Pulmonary edema;Severe preeclampsia;Peripartum cardiomyopathy
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KoreaMed
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