妊娠合并心脏病患者不同心功能状态对心脏不良事件和妊娠结局的影响
摘要
<正>妊娠合并心脏病是导致孕产妇死亡和其他不良结局的高危合并症之一,其发病率和死亡率呈现上升趋势~([1])。妊娠合并心脏病产妇常伴有不同程度的肺动脉高压,患者循环系统失代偿,除了增加自身心力衰竭和死亡风险,也会影响胎儿的正常发育。因此对患有心脏病的孕产妇进行严密监护、合理的孕期处理,减少围产期并发症,降低母婴死亡率,是目前产科医生面临的主要问题~([2])。本研究通过观察69例妊娠合并心脏病患
引文
[1]Thompson J L,Kuklina E V,Bateman B T,et al.Medical and obstetric outcomes among pregnant women with congenital heart disease[J].Obstet Gynecol,2015,126(2):346.
[2]Dayan N,Laskin C A,Spitzer K,et al.Pregnancy complications in women with heart disease conceiving with fertility therapy[J].J Am Coll Cardiol,2014,64(17):1862.
[3]衣欣,胡奉环.红细胞分布宽度对老年慢性心力衰竭患者预后的影响研究[J].中国全科医学,2013,21(16):1859.
[4]林莉,赵旭东.妊娠合并心脏病伴肺动脉高压85例的围生结局[J].实用妇产科杂志,2013,5(5):358.
[5]Opotowsky A R,Siddiqi O K,D'Souza B,et al.Maternal cardiovascular events during childbirth among women with congenital heart disease[J].Heart,2012,98(2):145.
[6]赵光临,代礼,谢建生,等.深圳市先天性心脏病流行病学特征研究[J].中国妇幼保健,2013,28(22):3633.
[7]黄滔滔,林建华.孕产期心力衰竭的诊治[J].实用妇产科杂志,2015,31(6):405.
[8]Sliwa K,Bohm M.Incidence and prevalence of pregnancy-related heart disease[J].Cardiovasc Res,2014,101(4):554.
[9]林建华,黄滔滔.产科急性心衰的诊断和抢救[J].中国实用妇科与产科杂志,2011,2(2):92.
[10]Ouyang D W,Khairy P,Fernandes S M,et al.Obstetric outcomes in pregnant women with congenital heart disease[J].Int J Cardiol,2010,144(2):195.
[11]Care A C.ESC Guidelines on the management of cardiovascular diseases during pregnancy[J].Eur Heart J,2011,32:3147.
[12]Ja s X,Olsson K M,Barbera J A,et al.Pregnancy outcomes in pulmonary arterial hypertension in the modern management era[J].Eur Respir J,2012,40(4):881.
[13]艾瑛,王淑芬,周容.妊娠合并先天性心脏病伴肺动脉高压患者的母婴结局[J].实用妇产科杂志,2010,26(5):383.
[14]Lane C R,Trow T K.Pregnancy and pulmonary hypertension[J].Clin Chest Med,2011,32(1):165.
[15]Katsuragi S,Yamanaka K,Neki R,et al.Maternal outcome in pregnancy complicated with pulmonary arterial hypertension[J].Circ J,2012,76(9):2249.
[2]Dayan N,Laskin C A,Spitzer K,et al.Pregnancy complications in women with heart disease conceiving with fertility therapy[J].J Am Coll Cardiol,2014,64(17):1862.
[3]衣欣,胡奉环.红细胞分布宽度对老年慢性心力衰竭患者预后的影响研究[J].中国全科医学,2013,21(16):1859.
[4]林莉,赵旭东.妊娠合并心脏病伴肺动脉高压85例的围生结局[J].实用妇产科杂志,2013,5(5):358.
[5]Opotowsky A R,Siddiqi O K,D'Souza B,et al.Maternal cardiovascular events during childbirth among women with congenital heart disease[J].Heart,2012,98(2):145.
[6]赵光临,代礼,谢建生,等.深圳市先天性心脏病流行病学特征研究[J].中国妇幼保健,2013,28(22):3633.
[7]黄滔滔,林建华.孕产期心力衰竭的诊治[J].实用妇产科杂志,2015,31(6):405.
[8]Sliwa K,Bohm M.Incidence and prevalence of pregnancy-related heart disease[J].Cardiovasc Res,2014,101(4):554.
[9]林建华,黄滔滔.产科急性心衰的诊断和抢救[J].中国实用妇科与产科杂志,2011,2(2):92.
[10]Ouyang D W,Khairy P,Fernandes S M,et al.Obstetric outcomes in pregnant women with congenital heart disease[J].Int J Cardiol,2010,144(2):195.
[11]Care A C.ESC Guidelines on the management of cardiovascular diseases during pregnancy[J].Eur Heart J,2011,32:3147.
[12]Ja s X,Olsson K M,Barbera J A,et al.Pregnancy outcomes in pulmonary arterial hypertension in the modern management era[J].Eur Respir J,2012,40(4):881.
[13]艾瑛,王淑芬,周容.妊娠合并先天性心脏病伴肺动脉高压患者的母婴结局[J].实用妇产科杂志,2010,26(5):383.
[14]Lane C R,Trow T K.Pregnancy and pulmonary hypertension[J].Clin Chest Med,2011,32(1):165.
[15]Katsuragi S,Yamanaka K,Neki R,et al.Maternal outcome in pregnancy complicated with pulmonary arterial hypertension[J].Circ J,2012,76(9):2249.