摘要
妊娠合并心脏病属高危妊娠，是孕产妇死亡的重要原因之一，病死率达0．1％～1％。因此．关于计划怀孕的患有心脏瓣膜病的育龄妇女、在产前检查时发现患有心脏瓣膜病的患者及已知有心脏瓣膜病而怀孕的患者，是否适宜妊娠，能否安全度过妊娠、分娩和产后围产期，应认真进行评估，包括详细病史、用药情况、体格检查、12导联心电图、超声心动图及胸部X线片（妊娠患者除外）;
出处
《岭南心血管病杂志》
2010年第5期360-363,共4页
South China Journal of Cardiovascular Diseases
参考文献5
-
1ELKAYAM U, BITAR F.Valvular heart disease and pregnancy: part 1 : native valve[J]. JACC ,2005,46(2) :223-230.
-
2MULDER B J, BLEKER O P, et al. Valvular heart disease in pregnancy[J]. N Engl J Med ,2003,349(14) : 1387.
-
3BONOW R O,CARABELLO B A,et al. 2008 focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease : a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1998 guidelines for the management of patients with valvular heart disease). Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons [ J ]. J Am Coil Cardiol, 2008,52 ( 13 ) : e1-e142.
-
4STOUT K K, OTTO C M. Pregnancy in women with valvular heart disease [ J ]. Heart, 2007,93 (5) : 552-558.
-
5BATES S M, GREER I A, HIRSH J, et al. Use of antithrombotic agents during pregnancy: the Seventh ACCP Conference on Antithrombotic and Thrombolytic Therapy [ J ]. Chest, 2004,126 (3 Suppl ) : 627S-644S.
同被引文献16
-
1乐杰.妇产科学[M].7版.北京:人民卫生出版社,2010:366.
-
2Arafeh JM, Baird SM. Cardiac disease inpregnancy [ J ]. Crit Care NursQ, 2006, 29 (1): 32-52.
-
3Morisco C, Nappi A, Argenziano L, et al. Noninvasive evaluation of cardiac hemodynamics during exercise in patients with chronic heart failure: effects of short - term coenzyme Q10 treatment [J]. Mol Aspects Med, 1994, 15 (Suppl1): S155-163.
-
4Bonow RO, Carabello BA, Chatterjee K, et al. 2008 focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the 1998 guidelines for the management of patients with valvular heart disease) . Endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons [J]. J Am Coil Cardiol, 2008, 52 (13): e1 -142.
-
5Regitz -Zagrosek V, Blomstrom Lundqvist C, Borghi C, et al. ESC guidelines on the management of cardiovascular diseases during pregnancy [J]. Eur Heart J, 2011, 32 (24): 3147-3197.
-
6Lawley CM, Algert CS, Ford JB, et al. Heart valve prostheses in pregnancy: outcomes for women and their infants[J]. J Am Heart Assoc, 2014, 3 (3): e000953.
-
7Vahanian A, Alfieri O, Andreotti F, et al. Guidelines on the management of valvular heart disease ( version 2012) : the Joint Task Force on the Management of Valvular Heart Disease of the European Society of Cardiology (ESC) and the European Association for Cardio - Thoracic Surgery ( EACTS ) [ J ]. Eur J Cardiothorac Surg, 2012, 42 (4): S1-44.
-
8El SF, Hassan W, Latroche B, et al. Pregnancy has no effect on the rate of structural deterioration of bioprosthetic valves: long- term 18 - year follow up results[J]. J Heart Valve Dis, 2005, 14 (4) : 481 - 485.
-
9Yun KL, Miller DC, Moore KA, et al. Durability of the Hancock MO bioprosthesis compared with standard aortic valve bioprostheses [J]. Ann Thorac Surg, 1995, 60 (2 Suppl) : S221 -228.
-
10McLintock C. Anticoagulant therapy in pregnant women with mechanical prosthetic heart valves : no easy option [ J ]. Thromb Res, 2011, 127 (Suppl3): S56-60.
二级引证文献4
-
1王昆.人工瓣膜置换术联合射频消融术治疗重症心脏瓣膜病合并心房颤动的临床研究[J].中国社区医师,2019,35(4):73-73. 被引量：2
-
2刘建民,刘建斌,陈鹏蔓,赵芳,叶蕾,梁贵友.心脏机械瓣膜置换术后妊娠早期两种抗凝方案治疗效果的比较[J].中国临床实用医学,2019,10(6):42-45.
-
3王军,吴海波,单莉莉,尚丽新.妊娠合并心血管疾病系列研究(2) 心脏瓣膜置换术后患者妊娠临床管理[J].人民军医,2020,63(8):814-819. 被引量：1
-
4李晴,丁玉珍,樊尚荣.妊娠合并机械心脏瓣膜患者血栓形成抗凝治疗的研究[J].中华产科急救电子杂志,2024,13(1):41-48.
-
1打了狂犬病疫苗过多久才能怀孕[J].中国家庭医生,2011(2):41-41.
-
2怀孕后才吃叶酸，晚不晚[J].中国家庭医生,2014(12):49-49.
-
3孕育新知[J].婚育与健康,2010(3):36-36.
-
4坚尚.孕期补充足量叶酸十分重要[J].中华医学信息导报,2016,0(11):8-8.
-
5新政[J].新农业,2013(20):17-17.
-
6王瑛珏.7302例免费孕前优生健康检查夫妇乙型肝炎五项检测情况的分析[J].中国医药指南,2013,11(34):403-403.
-
7黄汉琮.糖尿病妇女何时怀孕血糖说了算[J].糖尿病天地,2004(3):12-12.
-
8蒲晓芬,王玉琼.早孕期妇女抑郁调查研究[J].中国实用护理杂志,2010,26(6):14-16. 被引量：1
-
9屈艳霞,陈桂兰,袁玉枝,江帆,杨烨,唐盈,左连东,吴伟雄.1824例孕前检查结果分析[J].国际检验医学杂志,2014,35(22):3009-3010. 被引量：7
-
10张敏.乙肝妈妈如何生一个健康宝宝[J].人人健康,2017,0(1):54-54.
