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目的:调查分析妊娠合并不同类型心脏病的临床特点,并探讨实施孕期保健措施对不同心功能状态孕妇分娩结局的影响,积累孕期保健经验。方法:对2007年3月～2010年5月间在乐清市第三人民医院分娩的妊娠合并心脏病患者58例的资料进行回顾性分析。结果:孕妇心力衰竭者13例,行孕期保健者出现心力衰竭3例(23%),未行孕期保健者出现心力衰竭10例(77%)。58例妊娠合并心脏病患者中先天性心脏病22例,占第1位,风湿性心脏病12例,妊高征心脏病8例,围产期心肌病5例,心肌炎6例,心律失常5例。结论:合理孕期保健能及时改善孕妇心功能状态,提高产妇生命质量及围产儿的质量,大大提高了母儿安全水平。
Objective: To investigate and analyze the clinical features of different types of heart disease during pregnancy, and to explore the impact of the implementation of health care measures during pregnancy on delivery outcomes of pregnant women with different cardiac function status, and to accumulate experience of health care during pregnancy. Methods: The data of 58 cases of pregnancy complicated with heart disease who were delivered at the Third People ’s Hospital of Yueqing from March 2007 to May 2010 were analyzed retrospectively. Results: 13 cases of pregnant women with heart failure, 3 cases of heart failure (23%) occurred during pregnancy, and 10 cases (77%) of heart failure occurred during the period of pregnancy. 58 cases of congenital heart disease in pregnant women with congenital heart disease in 22 cases, accounting for 1, 12 cases of rheumatic heart disease, PIH heart disease in 8 cases, perinatal cardiomyopathy in 5 cases, myocarditis in 6 cases, arrhythmia 5 example. Conclusion: Reasonable pregnancy health care can improve the state of heart function in pregnant women in time, improve the quality of life of pregnant women and the quality of perinatal children, greatly improve the safety level of maternal and child.