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妊娠合并心脏病为孕产妇死亡的主要原因之一,由于近代医学科学的发展,近年来其它原因所致的孕产妇死亡率明显下降,而使妊娠合并心脏病的死亡率仅次于产后出血而跃居第二位。因此如何处理好妊娠合并心脏病是围产期保健的重要内容之一。本文收集了解放军202医院妇产科78例及皖南医学院附属医院妇产科27例,共105例妊娠合并心脏病的临床资料分析如下: 临床资料一、发病率解放军202医院1973～1985年分娩总数18,375例,妊娠合并心脏病78例,占同时期孕产妇的0.424％,皖南医院附属医院1977～1985年分娩总数6,873例,妊娠合并心脏病27例,占同时期孕产妇的0.4％,两组发病率基本相同。二、心脏病的类型 105例中,风湿性心脏病48例,先天性心脏病33例,心肌病8例,心律失常10例,孕高症性心脏病4例,肺心病1例,贫血性心脏病1例。三、年龄与心衰的发生率及心衰发生的时间两组病例25岁以下者18例,26～30岁的65例,31～40岁以上者8例,发生心衰的22例。31～40岁以上年龄组内的8例全部发生心衰,说明年龄越大,心脏病病史越长,心功能代偿就越差,妊娠后容易发生心
Pregnancy complicated by heart disease is one of the main causes of maternal death. Due to the development of modern medical science, the maternal mortality rate caused by other causes has obviously dropped in recent years, leaving the mortality rate of heart disease with pregnancy secondary to postpartum hemorrhage Leap second place. So how to deal with pregnancy complicated with heart disease is one of the important contents of perinatal care. In this paper, the People’s Liberation Army 202 Hospital Obstetrics and Gynecology 78 cases and Wannan Medical College Affiliated Hospital of Obstetrics and Gynecology 27 cases, a total of 105 cases of pregnancy complicated with heart disease clinical data are as follows: Clinical data First, the incidence of People’s Liberation Army 202 Hospital 1973-1985 childbirth The total number of 18,375 cases of pregnancy with heart disease in 78 cases, accounting for 0.424% of pregnant women at the same period, Wannan Hospital Affiliated Hospital of 1977-1985 total number of deliveries 6,873 cases of pregnancy complicated by heart disease in 27 cases, accounting for 0.4% of pregnant women in the same period, two The incidence of the same group. Second, the type of heart disease 105 cases, 48 cases of rheumatic heart disease, congenital heart disease in 33 cases, 8 cases of cardiomyopathy, 10 cases of arrhythmia, pregnancy-induced heart disease in 4 cases, 1 case of pulmonary heart disease, anemia 1 case of heart disease. Third, the incidence of age and heart failure and heart failure occurred in two groups of patients under 25 years of age in 18 cases, 65 cases of 26 to 30 years old, 31 to 40 years of age in 8 cases, 22 cases of heart failure. All the patients in the age group of 31 ~ 40 years old all had heart failure, which indicated that the older, the longer history of heart disease, the worse heart function compensation,