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目的 通过分析 72例围生期一过性心肌缺血和 (或 )心律失常的病例 ,并随机抽取 72例心电图正常的产妇病历与之比较 ,重点了解围生期一过性心肌缺血和 (或 )心律失常的转归 ,与病理妊娠的关系 ,与分娩方式的关系 ,对分娩过程的影响 ,探讨其发生机制 ,并为内科医师提供参考意见。方法 对 1998～ 2 0 0 2年住院的 72例围生期一过性心肌缺血和 (或 )心律失常病历进行回顾性分析 ,并随机抽取这 5年中 72例心电图正常的产妇病历与之比较。结果 (1) 72例围生期一过性心肌缺血和 (或 )心律失常与 72例心电图正常的产妇比较 ,前者与病理妊娠不相关 ,P >0 0 5。 (2 ) 72例围生期一过性心肌缺血和 (或 )心律失常与 72例心电图正常产妇分娩方式比较 ,前者剖腹产明显多于后者 ,P <0 0 1。 (3)分别去除 2组的病理妊娠和自己强烈要求剖宫产者 ,一过性心肌缺血和 (或 )心律失常组因心脏因素而选择剖宫产的明显大于心电图正常产妇对照组 ,P <0 0 0 1。结论 围生期一过性心肌缺血和 (或 )心律失常与病理妊娠不相关 ,其因心脏因素而选择剖宫产的明显多于心电图正常产妇对照组。建议围生期合并一过性心肌缺血和 (或 )心律失常的产妇应主要根据心功能选择分娩方式。过去认为围生期心电图出现“心肌缺血”改变是因为心
Objective To analyze 72 cases of transient myocardial ischemia and / or arrhythmia cases and 72 cases of normal electrocardiogram maternal medical records were compared with the focus of understanding perinatal myocardial ischemia and ( Or arrhythmia outcome, the relationship with pathological pregnancy, the relationship with the mode of delivery, the impact on the delivery process, to explore its mechanism, and to provide reference for physicians. Methods A retrospective analysis was performed on 72 cases of transient myocardial ischemia and / or arrhythmia during admission from 2002 to 2002. 72 cases of normal electrocardiogram maternal medical records Compare Results (1) 72 cases of perinatal transient myocardial ischemia and / or arrhythmia compared with 72 cases of normal ECG, the former is not related to pathological pregnancy, P> 0.05. (2) 72 cases of perinatal myocardial ischemia and (or) arrhythmia and 72 cases of normal ECG delivery mode, the former was significantly more than the latter (P <0.01). (3) Remove the two groups of pathological pregnancy and their own strong demand for cesarean section, transient myocardial ischemia and (or) arrhythmia group due to cardiac factors and choose cesarean section was significantly greater than normal ECG normal maternal control group, P <0 0 0 1. Conclusions Perinatal transient myocardial ischemia and / or arrhythmia is not associated with pathological pregnancy, and its choice of cesarean section due to cardiac factors is significantly more than that of the normal maternal ECG control group. Proposed perinatal merger of transient myocardial ischemia and (or) arrhythmia in women should be based on cardiac function mode of delivery. In the past that perinatal ECG “myocardial ischemia” change is due to heart