妊娠合并先天性心脏病20例临床分析

目的:分析妊娠合并先天性心脏病的处理方法、母婴结局及心脏手术对妊娠的影响。方法:回顾性分析我院2007年1月至2008年12月我院收治的20例妊娠合并先天性心脏病的孕妇及胎儿的临床资料。结果:该组患者的先心病以房间隔缺损、室间隔缺损为主,心功能Ⅲ-Ⅳ级的患者的孕周、剖宫产率、产褥感染、早产率、胎儿生长受限(FGR)、围产儿死亡率与心功能Ⅰ-Ⅱ级相比,有统计学意义,P<0.05。心脏手术后妊娠可改善心功能,妊娠结局良好。结论:妊娠合并先心病的患者妊娠结局与心功能分级密切相关,应尽可能使其心功能维持在Ⅰ-Ⅱ级以改善母婴预后。

Pregnancy Complicated with Congenital Heart Disease:Clinical Analysis of 20 Cases

Objective: To analyze treatment of pregnancy with congenital heart disease,maternal and neonatal outcomes and cardiac surgery on pregnancy.Method: 20 pregnant women with congenital heart disease,maternal and fetal clinical data were analyzed Jan.2007 to Dec.2008 in our hospital.Result: The group of patients with congenital heart disease with atrial septal defect,ventricular septal defect-based,grade Ⅲ-Ⅳ cardiac function in patients with gestational age,cesarean section rates,puerperal infection,preterm birth rates,fetal growth restriction(FGR) perinatal mortality and cardiac function grade Ⅰ-Ⅱ compared,statistically significant,P <0.05.Pregnancy after cardiac surgery can improve heart function,pregnancy outcome was good.Conclusion: Pregnancy outcome of pregnancy in patients with congenital heart disease and cardiac function is closely related to cardiac function should be possible to maintain the grade Ⅰ ~ Ⅱ to improve maternal and child outcomes.