摘要
目的:分析妊娠合并先天性心脏病的处理方法、母婴结局及心脏手术对妊娠的影响。方法:回顾性分析我院2007年1月至2008年12月我院收治的20例妊娠合并先天性心脏病的孕妇及胎儿的临床资料。结果:该组患者的先心病以房间隔缺损、室间隔缺损为主,心功能Ⅲ-Ⅳ级的患者的孕周、剖宫产率、产褥感染、早产率、胎儿生长受限(FGR)、围产儿死亡率与心功能Ⅰ-Ⅱ级相比,有统计学意义,P<0.05。心脏手术后妊娠可改善心功能,妊娠结局良好。结论:妊娠合并先心病的患者妊娠结局与心功能分级密切相关,应尽可能使其心功能维持在Ⅰ-Ⅱ级以改善母婴预后。
Objective： To analyze treatment of pregnancy with congenital heart disease,maternal and neonatal outcomes and cardiac surgery on pregnancy.Method： 20 pregnant women with congenital heart disease,maternal and fetal clinical data were analyzed Jan.2007 to Dec.2008 in our hospital.Result： The group of patients with congenital heart disease with atrial septal defect,ventricular septal defect-based,grade Ⅲ-Ⅳ cardiac function in patients with gestational age,cesarean section rates,puerperal infection,preterm birth rates,fetal growth restriction（FGR） perinatal mortality and cardiac function grade Ⅰ-Ⅱ compared,statistically significant,P 0.05.Pregnancy after cardiac surgery can improve heart function,pregnancy outcome was good.Conclusion： Pregnancy outcome of pregnancy in patients with congenital heart disease and cardiac function is closely related to cardiac function should be possible to maintain the grade Ⅰ ~ Ⅱ to improve maternal and child outcomes.
出处
《河北医学》
CAS
2012年第1期82-84,共3页
Hebei Medicine
关键词
妊娠
先天性心脏病
母婴结局
心脏手术
Pregnancy
Congenital heart disease
Maternal and neonatal outcomes
Heart surgery
