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患者孕妇24岁,4岁时发现有先天性紫绀型心脏病,16岁时咯血并经心导管检查证实为艾生曼格(Eisenmenger)氏综合征。入院时表现有轻度呼吸困难、严重紫绀。X 线摄片有肺动脉扩大,心电图显示右心房、室肥大,心超声显示肺动脉高压和心室处自右向左分流。产科情况,自孕22周起,胎儿严重宫内发育迟缓,低于第10百分位数,但 B超检查胎儿无形态学及心脏异常。为预防血栓栓塞,投予有效剂量肝素治疗。孕33周,孕妇呼吸困难,紫绀日益加重,在纯氧吸入,心电监护,全麻
The pregnant woman, 24 years old, had a congenital cyanotic heart disease at 4 years of age, hemoptysis at age 16 and confirmed Eisenmenger’s syndrome by cardiac catheterization. Admission showed mild dyspnea, severe cyanosis. X-ray films have enlarged pulmonary artery, right atrium ECG, hypertrophy of the heart, pulmonary hypertension and right ventricular at right to left shunt. Obstetric conditions, from the 22th week of pregnancy, fetal intrauterine growth retardation, lower than the 10th percentile, but B-ultrasound examination of fetal morphology and abnormal heart. To prevent thromboembolism, an effective dose of heparin is administered. 33 weeks pregnant, pregnant women breathing difficulties, cyanosis is increasing, in pure oxygen inhalation, ECG monitoring, general anesthesia