妊娠期心脏手术及心脏手术后妊娠81例分析

A Clinical Analysis of 81 cases in pregnancy with cardiac surgery

目的：为了探讨心脏手术对妊娠的影响。方法：对妊娠期心脏手术及心脏手术后妊娠81例回顾性分析：先天性心脏病手术后妊娠46例；风湿性心脏病手术35例，其中二失瓣扩张术后妊娠23例，瓣膜置换术后妊娠6例术后妊娠共29例，孕期中二尖瓣扩张术后继续妊娠6例。结果：79例新生儿存活，无1例产妇死亡。结论：心脏手术改善心功能，使妊娠获得成功。瓣膜置换术合理抗凝，机械瓣优于生物辩。

objective:To investigate the affection of cardiac surgery on pregnacy. Method:8l cases of pregnacy with cardiac surgery were analyzed retrospectively. Among these patients, there were 46 cases with congenital heart diseaes and 35 cases with rheumatic heart diseases. 29 cases were pregnant after cardiac surgery, including 23 cases underwentmitral commissurotomy and 6 cases underwent valular replacement, the other 6 cases were underwent mitral commissu-totomy during pregnancy. Result:79 meonates were born alive and no maternal death was observed. Coclusion :Cardiac surgery can improve the heart function of pregnant women with heart diseases. Consequently, it may make the preg-nanacy successful if the patients were administered anticoagulat drugs rationally. The mechanic valve could take the ad-vantage of the biological one-