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本文对我院近3年期间收治的16例妊娠合并支气管哮喘、肺功能不全作回顾性分析,包括孕期合并哮喘10例,脊柱、胸廓畸形4例及肺切除术后2例。结果15例行子宫下段剖宫产,1例行产钳术分娩。16例新生儿皆存活,无畸形,其中4例为IUGR儿,根据体重指数计算,3例为非均称性,1例为均称性。4例IUGR中,2例产妇为哮喘;1例产妇为脊柱、胸廓畸形,伴严重混合性通气功能障碍;1例产妇为左全肺切除术后发生右肺支气管扩张伴感染,继而出现肺心病和慢性呼吸功能不全。本文IUGR并发率为25％,明显高于文献报道的3％～10％。
This article retrospectively analyzed 16 cases of pregnancy complicated with bronchial asthma and pulmonary insufficiency in our hospital in the recent 3 years, including 10 cases of asthma during pregnancy, 4 cases of spine and thoracic deformity, and 2 cases after lung resection. Results 15 cases of uterine cesarean section, one case of forceps force delivery. All 16 neonates survived without deformity, of which 4 were IUGR children. According to body mass index, 3 were non-symmetry and 1 was symmetry. 4 cases of IUGR, 2 cases of maternal asthma; 1 case of maternal spine, thoracic deformity, with severe mixed ventilatory dysfunction; 1 case of maternal left lung pneumonectomy with right lung bronchiectasis with infection, followed by pulmonary heart disease And chronic respiratory insufficiency. This article IUGR complicated by 25%, significantly higher than the reported 3% to 10%.