Abstract:

Pregnancy with heart disease is one of the serious complications of obstetric diseases，which is the main cause of maternal and neonatal death in perioperative period.The choice of anesthesia for pregnancy with heart disease is mainly based on the condition of the mother and the condition of the fetus in the uterus.Regardless of the choice of anesthesia，the maternal vital signs should be stabilized and the safety of the newborn is the most important thing.This article describes these contents，with a view to guide clinical practice and achieve safe anesthesia.

Key words: Pregnancy with heart disease, anesthesia, cesarean section

摘要：

妊娠合并心脏病是目前产科疾病中严重的合并症之一，是导致产妇及新生儿在围手术期死亡的主要原因。妊娠合并心脏病的麻醉方式选择主要应根据产妇的病情和胎儿在宫内的情况。不管是选择何种麻醉方式都要以产妇的生命体征平稳为前提，以新生儿的安全为基础。文章就上述问题进行阐述，以期应用于指导临床实践，达到安全麻醉的目的。

关键词: 妊娠合并心脏病, 麻醉方式, 剖宫产