妊娠合并心脏病的麻醉

Anesthesia for pregnancy complicated with heart diseases

妊娠合并心脏病患者因心脏病类型不同，其麻醉管理方法不同。此文章首先探讨了妊娠期心血管变化及机制，然后对几种主要类型的心脏病合并妊娠患者的具体的病理生理特点及麻醉管理重点进行了综述。综合上述和疼痛机制的知识，以及考虑可能影响母儿安危的因素，来选择能达到最佳的镇痛和麻醉效果的方法和药物，使母儿预后满意。

Anesthesia management is different for different types of heart diseases complicated with pregnancy. The cardiovascular changes and their mechanisms during pregnancy are discussed, and a conclusion is made to the detail characteristics of their pathology and main points of administration during anesthesia for several major types of heart diseases complicated with pregnancy. This information, when coupled with knowledge of pain mechanisms and of conditions that may compromise maternal and fetal well-being, allows the selection of techniques and agents which maximize analgesia and anesthesia with optimal effects on maternal and fetal outcomes.