摘要
目的:分析妊娠合并肺动脉高压(PH)的临床特点,探讨其妊娠分娩时机及围生期监测治疗措施。方法:回顾性分析我院2005年6月至2009年1月10例妊娠合并PH患者的临床资料。结果:原发性肺动脉高压(PPH)1例,继发性肺动脉高压(SPH)9例(风湿性心脏病4例、先天性心脏病5例);轻度PH3例,中度PH6例,重度PH1例;心功能Ⅰ～Ⅱ级4例,心功能Ⅲ～Ⅳ级6例;足月分娩4例,早产5例,早孕人工流产1例;剖宫产8例,阴道分娩1例;产妇死亡1例,极低出生体重儿2例,新生儿死亡1例。结论:PPH患者应避免妊娠,SPH患者依心功能、肺动脉压力高低决定是否妊娠,最好在手术或药物治疗后妊娠。中、重度PH患者妊娠后建议早期终止妊娠,中晚期妊娠患者以剖宫产终止妊娠为宜。产妇和新生儿的预后取决于多种因素的影响。
Objective：To analysis the clinical characteristics of pulmonary hypertension（PH）complicating pregnancy,then to explore the delivery time and the monitoring as well as the treatment during perinatal period.Methods：The data of 10 cases with PH treated in our hospital from June 2005 to January 2009 were retrospectively analyzed.Results：1 case was primary pulmonary hypertension（PPH）;9 cases were secondary PH（SPH）,in which 4 cases were rheumatic heart disease and 5 cases were congenital heart diseases.3 cases were slight PH,6 cases were moderate PH,and 1 were severe group.4 cases NYHA class were Ⅰ～Ⅱ and 6 cases NYHA class were Ⅲ～Ⅳ.4 cases were term delivery,5 cases were premature delivery,and 1 got artificial abortion.8 cases were cesarean section,and 1 was vaginal delivery.2 cases were very low birth weight infants,1 infant was death and 1 mother was death.Conclusions：The patient of PPH should avoid conceiving.For SPH patients whether to conceive depends on cardiac function,the level of pulmonary arterial pressure and should better get pregnancy after surgery or medication.It should terminate pregnancy in the first trimester for moderate or severe patients.Cesarean section is more suitable for those in the second or third trimester.The prognosis of the mother and neonate depends on several factors.
出处
《实用妇产科杂志》
CAS
CSCD
北大核心
2010年第4期268-271,共4页
Journal of Practical Obstetrics and Gynecology
关键词
妊娠合并肺动脉高压
临床特点
治疗
预后
Pulmonary hypertension complicating pregnancy
Clinical characteristics
Treatment
Prognosis
