本文作者观察了硬膜外麻醉下妊娠合并心脏病剖宫产术中血流动力学变化，发现术中血流动力学改变主要发生在麻醉后和取胎儿后。认为：心功能代偿者常能耐受手术与麻醉，心功能失代偿者，围手术期治疗，改善心功能很重要。术中应常规吸氧，密切监护，麻醉平面不宜过广，适当补液，有利于母婴安全。 The authors observed hemodynamic changes in cesarean sections during pregnancy complicated with heart disease under epidural anesthesia and found that intraoperative hemodynamic changes mainly occurred after anesthesia and fetus fetus. That: compensators often tolerate cardiac surgery and anesthesia, cardiac decompensation, perioperative treatment, improve cardiac function is very important. Intraoperative oxygen should be routine, close monitoring, anesthesia should not be too wide, appropriate fluid, is conducive to the safety of mother and child.