摘要
对我院1982—1989年200例妊娠合并心脏病孕妇进行了分析,其发病率为1.3％,病死率为1.5％,围产儿死亡率为49‰。从资料分析看,母嬰预后主要与心功能、围产保健、产程时间及分娩方式有关。心功能Ⅲ～Ⅳ级的58例中,3人死亡,心功能Ⅰ～Ⅲ级的142例中,无1人死亡,(P<0.01)。心功能Ⅲ～Ⅳ级的58例中,75.86％未受到良好的围产保健。如产程超过16h,新生儿死亡、死产发生率就明显增高。剖宫产率在心功能Ⅰ～Ⅲ级与Ⅲ～Ⅳ级间也有显著差异(P<0.01)。
We studied 200 parturients with heart disease in our hospital during 1982—1989. The morbidity was 1.3% with a mortality rate of 1.5%. The perinatal mortality was 49%. In this series of cases, the prognosis of the mothers and infants was mainly related to the cardiac function, perinatal care, duration of labor and method of delivery. No death was found in 142 cases with cardiac function classified as Ⅰ～Ⅱ and 3 out of 58 cases with Grade Ⅲ～Ⅳ died (P<0.0l). 44/58 cases didn't obtain good perinatal care. The duration labor was longer than 16 hours, the neonatal mortality and stillbirth were significantly increased. The difference of cesarean section rate between those with Grade Ⅰ～Ⅱ arid Grade Ⅲ～Ⅳ was significant(P<0.01).
关键词
围产保健
妊娠
并发症
预后
心脏病
heart disease
high risk pregnancy
cardiac function
perinatal care
