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目的:探讨妊娠合并艾森曼格综合征对妊娠结局的影响及其治疗措施,以期降低此类孕产妇的病死率。方法:回顾性分析6例围产期妊娠合并艾森曼格综合征患者临床资料。结果:6例患者年龄22~30岁,孕周28~38周。4例患者未定期孕期检查,外院转诊入院,其中1例临产急诊入院,阴道分娩后出现肺栓塞突然死亡,新生儿抢救无效死亡;1例剖宫产术中死亡;1例剖宫产术后2天发生肺动脉高压危象死亡。其余2例为强烈要求继续妊娠,定期产前保健,孕期入院监护治疗,给予吸氧、卧床休息、严密监测生命体征、血液动力学、血气的变化及胎儿发育情况,择期行剖宫产术,获得较好母婴结局。结论:妊娠合并艾森曼格综合征母儿预后很差,不宜妊娠,一旦妊娠应尽早终止妊娠。如患者坚持要求继续妊娠,应加强产前保健尽早住院监护,由包括产科医生、心脏科专家、肺动脉高压专家、麻醉师等人员组成的治疗小组共同完成治疗,使患者平稳渡过围生期,改善母儿的预后。
Objective: To investigate the effect of pregnancy combined with Eisenmenger’s syndrome on pregnancy outcome and its treatment measures with a view to reducing the mortality rate of such maternal. Methods: A retrospective analysis of 6 cases of perinatal pregnancy with Eisenmenger syndrome in patients with clinical data. Results: Six patients were aged 22-30 years and gestational weeks 28-38 weeks. 4 patients were not scheduled for pregnancy check-up, hospital referral admission, including 1 emergency room admission, sudden onset of pulmonary embolism after vaginal delivery, neonatal rescue ineffective death; 1 case of cesarean section died; 1 case of cesarean section Two days after the death of pulmonary hypertension crisis. The remaining 2 cases were strongly required to continue pregnancy, regular prenatal care, pregnancy admission guardianship therapy, given oxygen, bed rest, close monitoring of vital signs, hemodynamics, blood gas changes and fetal development, elective cesarean section, Get better maternal and child outcomes. Conclusion: Maternal and neonatal pregnancy with Eisenmenger syndrome is very poor prognosis, should not be pregnant, once the pregnancy should be terminated as early as possible pregnancy. If patients insist on continuing pregnancy, antenatal care should be strengthened as soon as possible inpatient care, by the treatment team, including obstetricians, cardiologists, pulmonary hypertension experts, anesthetists and other personnel to complete the treatment, so that patients through the perinatal stable, Improve maternal and child outcomes.