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我院1984年8月至1991年12月共收治妊娠合并心脏病112例,其中分娩期Ⅲ°心衰54例,现报告如下。1 临床资料1.1 一般资料:54例中,年龄23～36岁,平均为27.65岁,第一胎妊娠48例占88.89％,心脏病既往无症状者30例,占55.6％,否认心脏病史者24例占44.4％,分娩期Ⅲ°心衰首次发作44例占81.48％。风心病36例占66.67％,先心病7例占14.82％,扩张型心肌病4例占7.41％,肥厚型心肌病2例,肺心病2例,妊高征2例,贫血性心脏病1例。
Our hospital from August 1984 to December 1991 were treated 112 cases of pregnancy complicated by heart disease, of which 54 cases of Ⅲ ° heart failure during delivery, are as follows. 1 Clinical data 1.1 General information: 54 cases, aged 23 to 36 years old, with an average of 27.65 years of age, 48 cases of first pregnancy accounted for 88.89%, 30 cases of heart disease asymptomatic, accounting for 55.6%, denied a history of heart disease 24 Cases accounted for 44.4%, 44 cases of first onset of Ⅲ ° heart failure during childbirth accounted for 81.48%. 36 cases of rheumatic heart disease accounted for 66.67%, 7 cases of premature heart disease accounted for 14.82%, dilated cardiomyopathy in 4 cases accounted for 7.41%, hypertrophic cardiomyopathy in 2 cases, pulmonary heart disease in 2 cases, pregnancy induced hypertension in 2 cases, anemia heart disease in 1 case .