论文部分内容阅读
目的 :探讨妊娠合并心脏病的类型及对母儿预后的影响。方法 :对我院分娩的 5 7例妊娠合并心脏病患者的临床资料进行回顾性分析。结果 :妊娠合并心脏病的发病率为 0 92 % ,妊娠合并先天性心脏病的发生率最高 (4 5 61% ) ,其次为妊娠合并风湿性心脏病 (2 6 3 2 % ) ,两者比例为 1 73∶1。心功能Ⅰ～Ⅱ级 3 1例 ,Ⅲ～Ⅳ级 2 6例 ,心衰 15例 ,死亡 1例 ,早产儿、新生儿低体重、围生儿死亡发生率明显增加。结论 :妊娠合并心脏病是孕产妇和围生儿死亡的重要原因之一 ,应加强孕期监护 ,改善妊娠结局 ,剖宫产是比较安全的分娩方式
Objective: To investigate the types of pregnancy complicated with heart disease and its prognosis. Methods: The clinical data of 57 cases of pregnancy complicated with heart disease in our hospital were analyzed retrospectively. Results: The incidence of pregnancy complicated with heart disease was 0 92%. The incidence of congenital heart disease in pregnancy was the highest (45 61%), followed by that of pregnancy complicated with rheumatic heart disease (26 36%) Is 1 73: 1. Cardiac function Ⅰ ~ Ⅱ 31 cases, Ⅲ ~ Ⅳ 26 cases, 15 cases of heart failure, 1 case of death, premature children, newborns, low birth weight, perinatal mortality increased significantly. Conclusion: Pregnancy complicated by heart disease is one of the important causes of maternal and perinatal deaths. Pregnancy should be monitored and pregnancy outcomes improved. Cesarean section is a safe mode of delivery