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本文分析1982～1986年南京地区8所医院妊娠合并心脏病337例的临床资料.表明本病患病率为0.38%,产妇病死率为5.93‰,围产儿死亡率为20.41‰。本组剖宫产率为20.18%,严重心脏病孕产妇剖宫产率为36.84%(28/76)。认为改善母婴预后的关键在于良好的孕产妇系统管理及高危妊娠的监护;积极防止贫血及孕高征;采取有力措施避免产程延长。对心脏病孕产妇剖宫产问题提出了新的认识。
This paper analyzes the clinical data of 337 pregnant women with heart disease in 8 hospitals in Nanjing from 1982 to 1986. The prevalence of this disease is 0.38%, the maternal mortality rate is 5.93% and the perinatal mortality rate is 20.41%. Cesarean section rate was 20.18% in this group, severe heart disease pregnant women cesarean section rate was 36.84% (28/76). The key to improving maternal and child prognosis is to have good maternal system management and custody of high-risk pregnancies, actively prevent anemia and pregnancy-induced hypertension, and take effective measures to avoid prolonged labor. The heart disease pregnant women cesarean section put forward a new understanding.