妊娠合并艾森曼格综合征7例妊娠结局分析

目的探讨妊娠合并艾森曼格综合征对妊娠结局的影响。方法回顾性分析2000年1月到2009年12月滨州医学院附属医院收治的7例妊娠合并艾森曼格综合征患者的临床资料。结果 7例患者中,2例双胎,其中1例双胎入院时确诊死胎,患者均未定期孕检,临产后急诊转入,剖宫产后病情恶化,抢救无效死亡。5例患者定期孕检,孕晚期入院治疗,严密监测生命体征,血液动力学,血气分析的变化及胎儿发育情况,评估患者心功能并动态观察,择期剖宫产,产后恢复良好。7例早产儿,最低体重900 g,经新生儿科治疗,无围产儿死亡。结论妊娠合并艾森曼格综合征母儿预后很差,不宜妊娠,一旦妊娠应尽早行人工流产术。患者坚决要求继续妊娠者,应加强产期保健,尽早住院监护,加强与心内科、麻醉科、新生儿科合作,使患者平稳度过围生期,改善母儿预后。

Analysis of the pregnancy outcome of 7 pregnant women with Eisenmeger's syndrome

Objective To investigate the effects of pregnant women with Eisenmenger's syndrome on pregnancy outcome.Methods Analyzing retrospectively seven pregnant women with Eisenmenger's syndrome,who had been treated in affiliated hospital of Binzhou Medical College from January 2000 to December 2009.Results Two patients were twins,one of them was diagnosed stillbirth on admission.None of them had regular examinations on pregnancy,and were transfered to hospital after labor.They were deteriorated after emergency ces...