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目的探讨心脏手术后妊娠结局及分娩方式对母婴的影响。方法对我院2000年6月至2010年6月10年间心脏手术后妊娠分娩96例患者进行回顾性分析,其中房间隔缺损修补术后25例;室间隔修补术后35例;法洛氏四联症矫治术后9例;二尖瓣扩张术5例;动脉导管结扎术后5例;主动脉窦瘤破裂修补术后2例;二尖瓣置换手术15例;手术后心功能1-2级92例;3级4例。结论心脏手术后妊娠妇女心功能明显改善,使母婴分娩结局良好,降低了心脏病孕妇围产期病率及死亡率。
Objective To investigate the effect of pregnancy outcome and delivery mode on mother and infant after cardiac surgery. Methods A retrospective analysis was performed on 96 cases of pregnancy and childbirth after cardiac surgery in our hospital from June 2000 to June 2010. Among them, 25 cases were repaired after atrial septal defect repair, 35 cases were repaired after interventricular septum repair, 9 cases after undergoing orthodontic treatment, 5 cases with mitral valve dilatation, 5 cases with patent ductus arteriosus, 2 cases with rupture of aortic sinus aneurysm, 15 cases with mitral valve replacement, Grade 92 cases; grade 3 in 4 cases. Conclusions The cardiac function of pregnant women after cardiac surgery is significantly improved, which results in a good outcome for both mother and child delivery and reduces the perinatal morbidity and mortality of heart disease pregnant women.