摘要
目的探讨不同程度心功能不全的晚期妊娠合并心脏病患者的妊娠结局。方法收集1994年8月～2008年1月,我院产科收治的56例晚期妊娠合并心脏病患者的临床资料(其中妊娠高血压性心脏病16例,围产期心肌病15例,先天性心脏病13例,风湿性心脏病12例),按照中止妊娠时心功能情况分为A、B、C组,分析不同心功能不全患者终止妊娠方式及时机、孕周和以及母儿结局。结果妊娠高血压性心脏病和围产期心肌病是最常见的晚期妊娠合并心脏病。56例患者中,剖宫产分娩50例;各组自然分娩率、足月分娩及新生儿平均体重组间比较有显著性差异。结论晚期妊娠合并心脏病是孕产妇和围产儿死亡的重要原因之一,晚期妊娠合并心脏病患者中止妊娠的主要手段是剖宫产分娩,重视妊娠性高血压的诊治及选择合理的中止妊娠的方法和时机可以改善妊娠结局。
Objective To study the result of late pregnancy complicated with heart disease to infant and pregnancy. Methods We reviewed the clinical data of the patients from Aug. 1994 to Jan. 2008. they were divided into groups A,B,C according to heart function. The types of heart disease, cardiac functional status （New York heart association, NYHA）, the pregnancy gestational weeks of pregnancy termination,mode of delivery and outcomes of infants were compared between the groups. Results Peripartum cardiomyopathy and pregnancy induced by hypertension were frequent late pregnancy associated with cardiac disease. Cesarean section delivery is the major childbirth style. The spontaneous delivery and term delivery rate and neonatus mean weight of A group were significantly higher compared with B, C group（P 〈 0.05 ）. Conclusion Late pregnancy associated with cardiac disease was the important reason of parturient and neonatus death. The major method to discontinue pregnancy was cesarean section delivery.
出处
《中国现代医生》
2008年第23期16-17,35,共3页
China Modern Doctor
关键词
晚期妊娠
心脏病
妊娠结局
Late pregnancy
Heart disease
Pregnancy outcome
