中国实用妇科与产科杂志

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风湿性心脏病瓣膜置换术后妊娠风险及对策

  

  1. 北京大学第一医院妇产科,北京 100034
  • 出版日期:2019-11-02 发布日期:2019-11-15
  • 通讯作者: 陈倩

Risk and management strategy of pregnancy after valve replacement for rheumatic heart disease.

  1. Department of Gynaecology and Obstetrics,First Hospital of Peking University,Beijing 100034,China
  • Online:2019-11-02 Published:2019-11-15

摘要:

风湿性心脏病瓣膜置换术后妊娠属高危妊娠,存在瓣膜血栓形成、抗凝相关并发症、人工瓣膜功能障碍及感染性心内膜炎等风险,应对其进行全面的妊娠前评估及严格的孕期管理,以期降低母儿并发症。

关键词: 风湿性心脏瓣膜病, 人工心脏瓣膜, 妊娠, 高危

Abstract:

Pregnancy after valve replacement for rheumatic heart disease is a high-risk pregnancy.There are risks of valve thrombosis, anticoagulation-related complications, prosthetic valve dysfunction and prosthetic valve endocarditis.Comprehensive preconception evaluation and strict management should be carried out in order to reduce maternal and neonatal complications.

Key words: rheumatic heart valve disease, prosthetic heart valve, pregnancy, high-risk

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