摘要
本文分析了上海瑞金医院三年中122例妊娠合并心脏病的临床资料,其中先心病43例,心肌炎39例,风心病27例,其他13例。122例中剖宫产77例,占67.11%,发生心衰的10例中有6例是风心病,本组孕产妇死亡2例亦为风心病。本文认为风心病合并妊娠为孕产妇死亡的首要原因,应加强监护,对心功能Ⅲ—Ⅳ级者、严重风心病者、肺动脉高压及紫绀型心脏病者不宜妊娠。要加强对早期心衰的诊治,把好孕30~34周、产时、产后24小时“三大关口”。妊娠合并心脏病的分娩方式以剖宫产为宜,阴道分娩者也应尽量缩短产程。
There were 122 pregnant women complicated with heart disease in recent 3 years in Ruei Jin Hospital and their clinical data has been analyzed. Of those 43 cases were congenital heart disease, my ocarditis 39, rheumatic heart disease 27.77 pregnancies were terminated by cesarean section(63.11%). In ten cases that developed heart failure 6 were rheumatic heart disease. Two patients with rheumatic heart disease died. Our research suggested that the rheumatic heart disease was the chief cause of maternal death. For the patients with severe rheumatic heart disease, with pulmonary hypertension and with cyanotic heart disease and for the patients whose cardiac function were grade Ⅱ-Ⅳ ,the pregnancy should be dissuaded. The heart disease should be diagnosed and treated in early stage. The patients should be properly managed during 30- 34 gestational weeks, during labour, and within 24 hours after delivery. The patients should accept cesarean section to terminate pregnancy. If vaginal delivery was selected, the delivery course should be shortened.
出处
《中国实用妇科与产科杂志》
CAS
CSCD
1993年第5期275-276,共2页
Chinese Journal of Practical Gynecology and Obstetrics
关键词
妊娠
心脏病
临床分析
Pregnancy complicated with heart disease
Rheumatic heart disease