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本文报道了我院1983年～1986年收治的妊娠合并心脏病44例,其发病率为产科住院人数的0.9%。风湿性心脏病21例,先天性心脏病16例,心律失常5例。阴道分娩者32例占72.73%;剖宫产12例占27.27%产妇死亡2例,新生儿全部存活。本文并对产前、产时、产后监护进行了讨论。就分娩方式的选择提出了具体意见,同时探讨了心脏病种类,代偿功能,合并症是影响预后的主要因素。
This article reports 44 cases of pregnancy complicated with heart disease admitted to our hospital from 1983 to 1986, the incidence rate of 0.9% of the obstetric hospitalization. 21 cases of rheumatic heart disease, 16 cases of congenital heart disease, arrhythmia in 5 cases. 32 cases of vaginal delivery accounted for 72.73%; cesarean section in 12 cases accounted for 27.27% maternal death in 2 cases, all newborns survived. This article also discusses prenatal, antenatal and postnatal care. On the choice of mode of delivery put forward specific opinions, at the same time to explore the types of heart disease, compensatory function, complications is the main factor affecting the prognosis.