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心脏病合并妊娠仍为目前孕产妇死亡的重要病因,发病率国内为0.63～2.43％,国外为1.2～3.7％平均1～3％。死亡率为2.03％,占产妇死亡总数的32～66.6％。本院从1975年元月～1981年12月分娩共16,703例,心脏病合并妊娠106例,占分娩人数的0.634％。死亡3例(2.83％),占死亡总数的23.07％。 资料分析 一、分类:106例中,风心病58例(54.71％),其中二尖瓣狭窄22例,二尖瓣狭窄兼闭锁不全30例,单纯性闭锁不全2例,病灶不详4例。妊娠前行二尖瓣分离术1例,行换瓣术2例;先心病19例
Heart disease with pregnancy is still an important cause of maternal mortality, the incidence of 0.63 to 2.43% in the country, an average of 1.2 to 3.7% of an average of 1 to 3%. The death rate was 2.03%, accounting for 32 to 66.6% of the total number of maternal deaths. Our hospital from January 1975 to December 1981 a total of 16,703 cases of childbirth, heart disease complicated with 106 cases of pregnancy, accounting for 0.634% of the number of births. 3 cases died (2.83%), accounting for 23.07% of the total deaths. Data analysis First, the classification: 106 cases, 58 cases of rheumatic heart disease (54.71%), including mitral stenosis in 22 cases, mitral stenosis and atresia in 30 cases, simple atresia in 2 cases, 4 cases of unknown lesions. Mitral valve separation in 1 case before pregnancy, line valve replacement in 2 cases; 19 cases of congenital heart disease