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目的探讨肺血管活性药物在妊娠合并特发性肺动脉高压孕妇中的治疗效果。方法对1例妊娠合并特发性肺动脉高压患者使用前列环素治疗前后的临床资料进行回顾分析,并复习相关文献。结果与既往文献报道相似,吸入前列环素类似物后,患者临床症状和血流动力学得到明显改善,顺利分娩健康婴儿。结论尽管不主张肺动脉高压患者妊娠,但通过使用肺血管活性药物和多学科共同协作,仍可以帮助此类患者顺利完成妊娠。
Objective To investigate the therapeutic effect of pulmonary vasoactive drugs in pregnant women with idiopathic pulmonary hypertension. Methods A case of pregnancy with idiopathic pulmonary hypertension in patients with prostacyclin treatment before and after the clinical data were reviewed and reviewed the relevant literature. The results are similar to those reported in previous literatures. After inhaled prostacyclin analogues, the clinical symptoms and hemodynamics of patients were significantly improved, and healthy babies were successfully delivered. Conclusions Although pregnancy is not advocated for patients with pulmonary hypertension, the successful completion of pregnancy can still be facilitated through the use of pulmonary vasoactive drugs and multidisciplinary collaboration.