合并不同心功能级别心脏病孕妇母婴结局的影响

目的探讨合并不同心功能级别心脏病孕妇母婴结局的影响。方法对2005年6月～2011年12月的44例合并不同心功能级别心脏病孕妇的临床资料进行回顾性分析,并探讨合并不同心功能级别心脏病孕妇母婴结局的影响。结果在44例合并不同心功能级别心脏病孕妇中,心功能I级23例,II级8例,III级4例,IV级9例,孕妇引道分娩6例,占13.6%,剖宫产有38例,占86.4%,围产儿死亡2例,孕产妇有1例死亡。结论合并不同心功能级别心脏病孕妇,妊娠易诱发心功能低下以及妊娠合并症,并可能进一步恶化,也是孕产妇和围生儿死亡的重要原因,早期的内科、手术和介入治疗,加强孕期检测,能够有效改善妊娠的结局。

Objective To explore the combined with cardiac function in levels of heart disease in pregnant women and neonatal outcomes effects. Methods In our hospital from 2005 June to 2011 December 44 cases with cardiac function in levels of heart disease in pregnant women were retrospectively analyzed, and to explore the complicated with cardiac function in levels of heart disease in pregnant women and neonatal outcomes effects. Results In 44 cases with cardiac function level of heart disease in pregnant women, heart function class Ⅰ in 23 cases, Ⅱ 8 cases, Ⅲ 4 cases, Ⅳ 9 cases, pregnant women lead delivery in 6 cases, accounting for 13.6%, cesarean section in 38 cases, accounting for 86.4%, 2 cases ofperinatal fetal death, maternal there were 1 cases of death. Conclusion Combined with cardiac function in levels of heart disease in pregnant women, pregnancy predisposes to low heart function and pregnancy complications, and may worsen, and maternal and perinatal death main reason, early operation and internal medicine, interventional therapy, strengthening prenatal detection, can effectively improve the pregnancy outcome.