中国实用妇科与产科杂志

中国实用妇科与产科杂志

• 专题笔谈 • 上一篇    下一篇

妊娠合并先天性心脏病的综合管理

  

  1. 1.山东大学附属省立医院产科，山东 济南 250021；2.山东第一医科大学附属省立医院产科，山东 济南 250021；3.国家卫生健康委员会生育调控技术重点实验室，山东 济南 250014；4.山东省妇幼保健院产科，山东 济南 250014
  • 出版日期:2019-11-02 发布日期:2019-11-15
  • 通讯作者: 王谢桐
  • 基金资助:

    泰山学者工程专项经费资助（ts20151101）

Comprehensive management of pregnancy in women with congenital heart disease.

  1. Department of Obstetrics，Shandong Provincial Hospital affiliated to Shandong University，Jinan 250021，China
  • Online:2019-11-02 Published:2019-11-15

摘要：

医学进步使得更多先天性心脏病妇女可以生存至生育期年龄。妊娠后母体和胎儿并发症风险都会增加，心脏功能也会进一步损害。风险取决于先天性心脏病类型、血流动力学受损程度及并发症情况。加强对此类患者的综合管理，进行仔细的个体化、多学科的风险评估，制定详细的妊娠期随访、分娩和产后治疗计划可降低风险，改善围产结局，对降低孕产妇病死率具有重要的意义。

关键词: 妊娠, 先天性心脏病, 评估, 综合管理

Abstract:

There are an increasing number of women with CHD seeking to bear children，and once pregnant，the risk of heart and maternal and fetal complications increases，and heart function is furhter damaged.The risk depends on the type of congenital heart disease，degree of hemodynamic impairment，and potential complications.Strengthening the comprehensive management of such patients，conducting careful individual and multidisciplinary risk assessment，and formulating detailed plans for follow-up during pregnancy，delivery and postpartum treatment can reduce the risk and improve perinatal outcomes，which has important significance for reducing maternal mortality.

Key words: pregnancy, congenital heart disease（CHD）, assessment, comprehensive management

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