摘要
目的：探讨妊娠合并先天性心脏病（先心病）患者孕期的合理监护、处理，以减少母儿发病率及死亡率。方法：回顾性分析10年间93例妊娠合并先心病者的妊娠结局。结果：①先心病以房间隔缺损、室间隔缺损为主，占56％，先心病手术以修补术为主，占69．4％。心功能Ⅰ-Ⅱ级者80例（占86％），Ⅲ～Ⅳ级者13例（占14％）。②心功能Ⅲ-Ⅳ级者较心功能Ⅰ-Ⅱ级者早产儿、小于孕龄儿的发生率高，新生儿平均体重低，有显著差异。2例孕产妇死亡均发生于心功能Ⅳ级者。③手术后妊娠可改善心功能，减少继发性肺动脉高压的发生，提高新生儿的体重。结论：妊娠合并先心病以间隔缺损为主，无论何种先心病，发现后宜尽早手术，术后再妊娠，可降低母儿发病率及死亡率。孕期尽可能维持心功能Ⅰ-Ⅱ级，减少并发症的发生，可望安全渡过孕期；心功能不良导致母儿预后不良。
Objective： To investigate the monitoring and treatment of pregnant women with CHD, to reduce the mortality and morbidity of both mother and fetus. Methods： Clinical data of 93 cases of pregnant women with CHD in ten years were analyzed retrospectively. Results： ①The highest incidence of CHD were atrial septal defect and ventricular septal defect （56%）, septopexy was the most common surgery （69.4%） . Pregnant women with grade Ⅰ - Ⅱ heart function were 80 cases （86%）, grade Ⅲ - Ⅳ heart function were 13 eases （ 14% ） ; ② The incidence of premature delivery, SGA and average of lower weight of newborns were higher in women with grade Ⅲ- Ⅳ heart function. Two cases maternal death occurred in the women with grade Ⅳ heart function. Conclusion： It was better for both maternal and fetus outcome after operation on those complicated by CHD, which could reduce their morbidity.
出处
《中国妇幼保健》
CAS
北大核心
2006年第23期3245-3247,共3页
Maternal and Child Health Care of China
关键词
先心病
妊娠
妊娠结局
Congenital heart disease
Pregnancy
Pregnancy outcome
