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本文分析了上海瑞金医院三年中122例妊娠合并心脏病的临床资料,其中先心病43例,心肌炎39例,风心病27例,其他13例。122例中剖宫产77例,占67.11％,发生心衰的10例中有6例是风心病,本组孕产妇死亡2例亦为风心病。本文认为风心病合并妊娠为孕产妇死亡的首要原因,应加强监护,对心功能Ⅲ—Ⅳ级者、严重风心病者、肺动脉高压及紫绀型心脏病者不宜妊娠。要加强对早期心衰的诊治,把好孕30～34周、产时、产后24小时“三大关口”。妊娠合并心脏病的分娩方式以剖宫产为宜,阴道分娩者也应尽量缩短产程。
This paper analyzes the clinical data of 122 cases of pregnancy complicated with heart disease in Shanghai Ruijin Hospital in three years, including 43 cases of congenital heart disease, 39 cases of myocarditis, 27 cases of rheumatic heart disease and the other 13 cases. Among 122 cases, 77 cases were cesarean section, accounting for 67.11%. Six of the 10 cases with heart failure were rheumatic heart disease. Two cases of maternal death in this group were also rheumatic heart disease. This article believes that wind-heart disease combined with pregnancy as the primary cause of maternal death should be strengthened guardianship, heart function Ⅲ-Ⅳ grade, severe rheumatic heart disease, pulmonary hypertension and cyanotic heart disease should not be pregnant. To strengthen the diagnosis and treatment of early heart failure, the good pregnancy 30 to 34 weeks, delivery time, 24 hours after delivery, “the three major ports.” Pregnancy complicated with heart disease in cesarean delivery method is appropriate, vaginal delivery should also minimize the labor process.