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1952年 Hufnagel 首次在临床上为一患者在降主动脉植入人造心脏瓣膜取得成功以来,至今世界上已进行瓣膜置换术(以下简称换瓣)逾百万例。随着如此大量而广泛开展的换瓣手术,其中有关育龄妇女在换瓣后的妊娠问题受到临床重视,特别关于换瓣妇女妊娠后带来的危险性,妊娠期间使用抗凝治疗所引起的并发症,妊娠后该如何处理等。本文就以上问题作一综述。换瓣妇女是否适合妊娠及分娩过去认为育龄妇女进行过换瓣手术后是
In 1952, for the first time Hufnagel clinically achieved the success of implanting a prosthetic heart valve in the descending aorta, more than 1 million valve replacement procedures (hereinafter referred to as valve replacement) have been performed in the world. With such extensive and extensively performed valve replacement surgery, the pregnancy-related problems in women of childbearing age have received clinical attention after the valve replacement, with particular reference to the risks posed by pregnancy after pregnancy and the complications caused by the use of anticoagulant therapy during pregnancy Disease, how to deal with after pregnancy and so on. This article gives a summary of the above problems. Valvular replacement of women is suitable for pregnancy and childbirth in the past that women of childbearing age had surgery after valve replacement