摘要
目的：探讨妊娠合并器质性心脏病患者母儿预后的影响因素。方法：对我院１９８５年１０月至１９９４年１０月间６２例妊娠合并器质性心脏病患者的有关临床资料进行回顾分析：结果：妊娠合并器质性心脏病的发病率为０．９７％。孕前已行外科手术纠正者３１例（５０％）。心脏病的种类对产妇及新生儿预后无显著影响。孕前未行外科手术者，其妊娠合并症明显高于已行手术者，早产儿及胎儿生长迟缓（ＩＵＧＲ）发生率亦明显高于后者。结论：器质性心脏病患者在妊娠前，经治疗和手术，心功能达到Ⅰ～Ⅱ级者能胜任妊娠，剖宫产是较为安全的分娩方式。
Objective:Toinvestigatethefactorswhichefectmaternal-fetaloutcomesinpreg-nantwomencomplicatedwithorganicheartdiseases.Method:Clinicaldataof62pregnantcaseswitheitherrheumaticorcongenitalheartdiseases,colectedfromBeijingAnzhenHospitalduring1985～1994,wereanalysedretrospectively.Results:Theprevalenceoforganicheartdiseasesintotalpreg-nantwomenduringthesameperiodwas0.97%.Nosignificantdiferencewasfoundinmaternal-fetalcomplicationsbetweenthetwotypesofheartdiseases.However,theincidencesofmaternalheartfailure,prematurebirth,intrauterinegrowthretardationweresignificantlyhigherinpatientswithoutprevioussurgicaltreatmentascomparedwiththosewithprevioussurgicaltherapy,andwerealsohigherinpatientswithheartfunctionofgradeⅢ～ⅣincomparisonwiththosewithgradeⅠ～Ⅱ.Conclusions:PatientswithorganicheartdiseasesshouldbetreatedandoperatedoninordertoachievegradeⅠ～Ⅱheartfunctionbeforepregnancy.Cesareansectionisthebeterchoiceofdeliv-ery.
出处
《中华妇产科杂志》
CAS
CSCD
北大核心
1996年第3期146-151,共6页
Chinese Journal of Obstetrics and Gynecology
关键词
心脏病
妊娠并发症
预后
HeartdiseasePregnancycamplications,cardiovscularPrognosis
