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妊娠晚期合并器质性心脏病临床分析 被引量:1

Clinical analysis of the advanced stage pregnant women complicated with organic heart diseases
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摘要 目的:探讨妊娠对心脏病患者及围产儿的影响.方法:对我院1999年10月~2004年10月妊娠晚期合并器质性心脏病91例患者的临床资料进行回顾性分析.结果:①先天性心脏病与风湿性心脏病发病比例为1.5:1,心功能对妊娠结局有影响;②心脏矫正手术能有效改善心功能;③不宜妊娠者易造成心衰、早产、新生儿低体重等,应正确处理,减少并发症及死亡的发生;④加强产前检查,减少高危妊娠.结论:先天性心脏病与风湿性心脏病比率发生变化,风湿性心脏病发病下降.母亲心功能状态影响新生儿预后.心脏手术能改善心功能,使母婴生存质量得到改善.两种心脏病仍会导致严重的并发症. Objective:To probe into the effect of the pregnancy for the gravid of the heart disease and the baby.Methods:The retrospective analysis for the 91 advanced stage pregnant complicating organic heart disease between October 1999 to 2004.Results:①The proportion of the heart disease of congenital to that of rheumatic is 1.5∶1,the heart function affect the pregnant outcome.②The heart rectify operation can improve the heart effect affectively.③If the mother who not fit pregnancy pregnancy,she will be easy to be congestive heart failure, premature delivery, the low weight of the baby ,et al,It should be dealed properly,decrease the happen of the complication and the death.④To strange the obstetrics check decrease the high risk pregnancy.Conclusion:The proportion of the heart disease of congenital to that of rheumatic has been change, The incidence of the heart disease of the rheumatic decrease.The mother heart affect the further of the baby.The heart operation will improve the heart effect,and the life quality of the mother and the baby.The two heart disease still induce serious complication.
作者 孔佳 李斌
出处 《中国妇幼保健》 CAS 北大核心 2005年第11期1336-1338,共3页 Maternal and Child Health Care of China
关键词 心脏病 妊娠并发症 心血管 预后 Heart disease Pregnancy camplications Cardiovascular Prognosis
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