本文選題：肺動(dòng)脈高壓 + 妊娠　； 參考：《中國(guó)婦產(chǎn)科臨床雜志》2017年06期

【摘要】：目的探討妊娠合并先天性心臟病(先心病)伴肺動(dòng)脈高壓患者的妊娠結(jié)局。方法對(duì)2013年1月至2016年12月在鄭州大學(xué)第一附屬醫(yī)院產(chǎn)科診治的143例妊娠合并先心病伴肺動(dòng)脈高壓患者的臨床資料進(jìn)行回顧性分析,根據(jù)肺動(dòng)脈收縮壓分為輕度組(30~45 mm Hg)、中度組(46~70 mm Hg)和重度組(≥71 mm Hg),比較各組先心病種類、心功能級(jí)別及母嬰結(jié)局。結(jié)果 (1)143例妊娠合并先心病患者中,室間隔缺損(35.7%,51/143)、房間隔缺損(27.3%,39/143)及法洛四聯(lián)癥(23.1%,33/143)比例占前三位;(2)肺動(dòng)脈壓越高,孕產(chǎn)婦心功能越差,且早產(chǎn)、剖宮產(chǎn)、新生兒窒息、產(chǎn)婦產(chǎn)后病情惡化者相應(yīng)增多,其中重度組早產(chǎn)率(61.8%,34/55)及剖宮產(chǎn)率(72.7%,40/55)均明顯高于輕度及中度組,差異均有統(tǒng)計(jì)學(xué)意義(P0.05);(3)未正規(guī)產(chǎn)前檢查組中剖宮產(chǎn)率(70.2%,40/57)、ICU入住率(70.2%,40/57)均明顯高于正規(guī)產(chǎn)前檢查組,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。結(jié)論妊娠合并先心病伴肺動(dòng)脈高壓患者肺動(dòng)脈壓力越高,母嬰妊娠結(jié)局越差;妊娠合并重度肺動(dòng)脈高壓患者剖宮產(chǎn)終止妊娠是比較安全的分娩方式;正規(guī)產(chǎn)前檢查可明顯改善母嬰結(jié)局。
[Abstract]:Objective to investigate the outcome of pregnancy with congenital heart disease (CHD) with pulmonary hypertension. Methods from January 2013 to December 2016, the clinical data of 143 cases of pregnancy complicated with congenital heart disease and pulmonary hypertension diagnosed and treated in the first affiliated Hospital of Zhengzhou University were retrospectively analyzed. According to the pulmonary artery systolic pressure, the patients were divided into three groups: mild group (30 mm Hg), moderate group (46 mm Hg) and severe group (鈮，

本文編號(hào)：2092176