本文選題：無(wú)結(jié)構(gòu)性心臟病 + 心律失常　； 參考：《實(shí)用婦產(chǎn)科雜志》2016年08期

【摘要】：目的:探討妊娠合并無(wú)結(jié)構(gòu)性心臟病心律失常患者的治療及妊娠結(jié)局。方法:收集1993年1月至2014年12月在上海交通大學(xué)醫(yī)學(xué)院附屬仁濟(jì)醫(yī)院分娩的877例無(wú)結(jié)構(gòu)性心臟病心律失常患者的臨床資料,對(duì)心律失常類型、治療及妊娠結(jié)局進(jìn)行分析。結(jié)果:877例妊娠合并心律失常以室性早搏最為常見(jiàn)(456例,占52.0%),其次為竇性心動(dòng)過(guò)速(182例,占20.8%)。患者足月分娩819例(93.4%)。孕期心功能Ⅰ~Ⅱ級(jí)者占99.4%(872/877),Ⅲ~Ⅳ級(jí)者0.6%(5/877);178例(20.4%)心功能Ⅰ~Ⅱ級(jí)患者予抗心律失常治療,而5例(100.0%)心功能Ⅲ~Ⅳ級(jí)患者均予抗心律失常治療;心功能Ⅲ~Ⅳ級(jí)者平均分娩孕周明顯短于Ⅰ~Ⅱ級(jí)(38.8±1.4周vs 37.7±1.7周,P0.001),圍生兒不良結(jié)局發(fā)生率明顯高于Ⅰ~Ⅱ級(jí)(8.0%vs 100.0%)。結(jié)論:無(wú)結(jié)構(gòu)性心臟病心律失�；颊咭栽绮佣�,大部分患者心功能狀態(tài)良好,能夠耐受妊娠,經(jīng)抗心律失常治療后妊娠結(jié)局良好。
[Abstract]:Objective: to investigate the treatment and pregnancy outcome of patients with pregnancy without structural heart arrhythmia. Methods: from January 1993 to December 2014, the clinical data of 877 patients with arrhythmia without structural heart disease who were delivered in Renji Hospital affiliated to Shanghai Jiaotong University Medical College were collected. The types of arrhythmia, treatment and pregnancy outcome were analyzed. Results Ventricular premature beats (456 cases, 52.0%) and sinus tachycardia (182 cases, 20.8%) were the most common cases of ventricular arrhythmia in 877 cases of pregnancy. There were 819 cases (93.4%) in term delivery. During pregnancy, 99.4% (872 / 877) of patients with cardiac function grade 鈪，

本文編號(hào)：2098865