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一、本报告分析了我院由1953至1955年三年内妊娠期心臓病342例,并对其处理及预后加以讨论。二、本组病例中心臓病的病因分类如下:风湿性65.2%,妊娠中毒症性14.3%,先天性9.3%,贫血性5.3%,高血压性2.7%,其他3.2%。三、342例中施行人工流产者仅5例,占1.4%。怀孕超过三个月者并无一例试行人工终止妊娠。四、本组病例的死亡率为2.9%,经本院产前检查的241例中仅一例死亡,死亡率为0.4%。未经产前检查101例中,有9例死亡,死亡率为9%。可见及时与适当的处理对预后有决定性的意义。五、妊娠中毒症心臓病对母亲与胎儿的预后均十分恶劣,本组内10例死亡中有6例系由本病所引起。六、三年来心臓病产妇死亡率较前有了显著的降低,但仍占产科死亡原因中主要地位。相信今后如果能改进与加强产前检查和处理,心臓病产妇的死亡率尚有进一步降低的可能。本文的完成,承蒙妇产科教研组王淑贞、司徒亮等教授及其他同志的指正与帮助,特此致谢。
First, this report analyzes 342 cases of gestational cardiomyopathy during pregnancy in our hospital from 1953 to 1955 within three years, and discusses its treatment and prognosis. Second, the etiology of the central rickets in this group are as follows: rheumatoid 65.2%, gestational toxicosis 14.3%, congenital 9.3%, anemia 5.3%, hypertension 2.7%, the other 3.2%. Third, 342 cases of artificial abortion in only 5 cases, accounting for 1.4%. There was no trial of artificial termination of pregnancy for more than three months of pregnancy. Fourth, the death rate of this group of patients was 2.9%, only one case of 241 cases of prenatal examination in our hospital, the mortality rate was 0.4%. Of the 101 cases without prenatal examination, 9 were fatal, with a 9% mortality rate. Shows that timely and appropriate treatment of the prognosis of the decisive significance. Fifth, pregnancy poisoning Chronic rickets on the prognosis of mothers and fetuses are very poor, 10 patients in this group of 6 deaths caused by the disease. In six or three years, the maternal mortality rate of heart disease was significantly lower than that of the previous years, but it still accounted for the leading position in the causes of obstetric death. I believe that if we can improve and strengthen the prenatal care and treatment in the future, there is a possibility of further reduction in the mortality rate of maternal and child wasting cholera. The completion of this article, thanks to the obstetrics and Gynecology teaching and research group Wang Shuzhen, Secretary Stuart and other professors and other comrades correct and help, hereby acknowledge.