妊娠合并肺动脉高压的早期识别及临床管理

Early Identification and Clinical Management of Pregnancy Complicated with Pulmonary Hypertension

肺动脉高压最终会进展为循环、呼吸衰竭,而妊娠状态加重心肺负担,妊娠合并肺动脉高压是危及母体及胎儿的妊娠并发症,症状不典型,早期难以识别,死亡率高。超声心动图较右心导管检查而言,具有简单、方便、无创的优点,临床常用。妊娠合并肺动脉高压患者一经诊断,应进行多学科管理,制定个体化、全程的诊疗方案。

Pulmonary hypertension will eventually lead to circulatory and respiratory failure, and the state of pregnancy increases the burden of heart and lung. Pregnancy complicated with pulmonary hyper-tension is a pregnancy complication that endangers the mother and fetus. The symptoms are atypi-cal and difficult to identify in the early stage, and cause high mortality. Compared with right cardiac catheterization, echocardiography is simple, convenient and non-invasive, and is commonly used in clinic. Once patients are diagnosed, they should carry out multi-disciplinary management and for-mulate individual and whole-process diagnosis and treatment plans, and choose the appropriate operation and anesthesia to terminate the pregnancy in time.