胸廓畸形合并妊娠138例分析

Thoracocyllosis in pregnancyanalysis of 138 cases

分析了１９５３年１月至１９７９年１２月、１９８０年１月至１９８５年５月，１９８５年６月至１９９４年１２月４２年间收治的胸廓畸形合并妊娠１３８例，其患病率分别为０．４２‰、０．１３１‰和０．７７‰。３组骨盆异常占８０％以上。结核与外伤是胸廓畸形的主要病因。并发症在第一、二组中肺活量减退者明显高于第三组，第一组呼吸道感染发生率明显低于第二、三组，但其肺源性心脏病发病率明显升高。３组剖宫产率分别为５２．４６％、９７．７８％、９６．９６％；围产儿死亡率分别为８．３３％、４．３４％、６．０６％；围产妇死亡率分别为３．３３％、２．２２％和０。定期随诊胸廓畸形合并妊娠孕妇的肺、心功能，预防心衰，适时行剖宫产术终止妊娠，对改善胸廓畸形合并妊娠的母婴预后有积极意义。

In the three stages of 42 years, Jan. 1953 to Dec. 1979,Jan. 1980 to May 1985, and June 1986 to Dec. 1994, 138 cases with thoracocyllos is in pregnancy were treated. The incidence in each stage was 0.42%, 0.13% and 0.77% respectively. The pelvic abnormality was over 80% in the three groups. Tuberculos is and trauma were the main causes of thoracocyllos is. Considering to the complications of the patients,the incidence of vital capacity damping in group one and two was more than that in group three, while the infection rate of respiratory tract was less in group one than that in group two and three, the high incidence of cor pulmonale was found. The cesarean section rates in the three groups were 52.46%,97.78% and 96.96%, the perinatal mortalities were 3.33%,2.22% and 0, respectively. For improving prognosis of the children and their mothers whom involved with thoracocyllosis the authors think it is important to do follow-up of pulmonary function and cardiac function regularlly; to prevent heart failure and to terminate pregnancy.by cesarean section in proper time.